| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $37 | $80 | $131 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $36 | $90 | $176 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $40 | $119 | $206 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,720 | $2,935 | $5,393 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,610 | $2,572 | $5,035 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $467 | $2,645 | $5,736 |
| Total shoulder replacement CPT 23472 • Orthopedics | $207 | $2,147 | $4,618 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $243 | $2,621 | $5,142 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $419 | $793 | $1,354 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $252 | $573 | $1,058 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $284 | $823 | $1,891 |
| Total hip replacement CPT 27130 • Orthopedics | $234 | $2,115 | $4,102 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,463 | $2,763 | $5,329 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,237 | $2,237 | $3,813 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $247 | $1,779 | $3,922 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,075 | $2,459 | $3,919 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,137 | $2,071 | $3,667 |
| Total knee replacement CPT 27447 • Orthopedics | $1,322 | $2,428 | $4,411 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $357 | $937 | $1,861 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $300 | $513 | $1,024 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $512 | $1,275 | $2,814 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $41 | $250 | $548 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,061 | $1,715 | $3,424 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $567 | $974 | $1,808 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $476 | $1,028 | $1,741 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $435 | $1,060 | $2,215 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $967 | $1,661 | $3,125 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $945 | $1,757 | $2,904 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $767 | $1,680 | $3,517 |
| Carpal tunnel release CPT 64721 • Orthopedics | $347 | $771 | $1,404 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $86 | $302 | $617 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $106 | $362 | $679 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $75 | $189 | $443 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $98 | $336 | $671 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $304 | $1,901 | $6,196 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $41 | $113 | $239 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $28 | $73 | $121 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $163 | $370 | $636 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $42 | $164 | $356 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $84 | $220 | $444 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $95 | $179 | $289 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $124 | $255 | $487 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $178 | $643 | $1,146 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $56 | $288 | $767 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $2,233 | $5,449 |
| Cytopathology concentration technique CPT 88108 • Pathology | $28 | $102 | $163 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $18 | $94 | $171 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $40 | $59 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $11 | $29 | $63 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $38 | $92 |