| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,983 | $2,906 | $4,276 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,426 | $2,161 | $3,195 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $352 | $1,687 | $2,580 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $437 | $649 | $995 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $318 | $551 | $790 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $469 | $803 | $1,409 |
| Total hip replacement CPT 27130 • Orthopedics | $322 | $1,716 | $2,835 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $2,036 | $2,753 | $3,679 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $263 | $1,565 | $2,642 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $270 | $1,610 | $2,718 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $270 | $1,622 | $2,715 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,344 | $2,090 | $2,705 |
| Total knee replacement CPT 27447 • Orthopedics | $1,267 | $1,981 | $2,831 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $580 | $689 | $927 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $346 | $561 | $732 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $113 | $979 | $2,130 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $271 | $461 | $796 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,059 | $1,595 | $2,375 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $562 | $880 | $1,265 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $757 | $922 | $1,221 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $820 | $1,131 | $1,545 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,189 | $1,790 | $2,300 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $203 | $1,236 | $2,126 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,289 | $1,783 | $2,402 |
| Carpal tunnel release CPT 64721 • Orthopedics | $485 | $718 | $998 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $119 | $211 | $387 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $164 | $325 | $632 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $120 | $185 | $225 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $152 | $335 | $625 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $495 | $1,796 | $5,403 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $64 | $116 | $179 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $53 | $75 | $108 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $109 | $295 | $581 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $78 | $108 | $162 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $139 | $226 | $414 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $77 | $128 | $209 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $185 | $227 | $337 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $275 | $535 | $976 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $87 | $168 | $249 |
| Cytopathology concentration technique CPT 88108 • Pathology | $29 | $72 | $125 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $45 | $72 | $95 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $20 | $35 | $54 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $16 | $20 | $24 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $18 | $40 | $61 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $13 | $32 | $50 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $19 | $38 | $55 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $48 | $64 | $95 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $61 | $80 | $116 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $67 | $132 | $277 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $163 | $455 | $740 |