| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $40 | $61 | $83 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $238 | $1,302 | $1,891 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $977 | $1,559 | $2,040 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $240 | $1,408 | $2,050 |
| Total shoulder replacement CPT 23472 • Orthopedics | $906 | $1,246 | $1,520 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $213 | $1,500 | $2,467 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $441 | $510 | $638 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $271 | $330 | $367 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $174 | $258 | $303 |
| Total hip replacement CPT 27130 • Orthopedics | $227 | $941 | $1,348 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,048 | $1,418 | $1,754 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $731 | $992 | $1,252 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $720 | $1,028 | $1,288 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $172 | $929 | $1,327 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $692 | $972 | $1,212 |
| Total knee replacement CPT 27447 • Orthopedics | $1,344 | $1,879 | $2,238 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $580 | $687 | $826 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $254 | $299 | $328 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $63 | $387 | $559 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $182 | $400 | $734 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $989 | $1,236 | $1,597 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $381 | $558 | $704 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $567 | $697 | $872 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $704 | $811 | $1,007 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $972 | $1,025 | $1,078 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $580 | $885 | $1,204 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $985 | $1,336 | $1,583 |
| Carpal tunnel release CPT 64721 • Orthopedics | $251 | $401 | $559 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $83 | $133 | $223 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $108 | $157 | $233 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $86 | $109 | $139 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $118 | $165 | $230 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $550 | $1,077 | $2,053 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $31 | $65 | $96 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $43 | $45 | $48 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $58 | $141 | $219 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $27 | $107 | $198 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $100 | $122 | $155 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $42 | $60 | $80 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $119 | $132 | $142 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $260 | $326 | $395 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $58 | $184 | $425 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $0 | $0 |
| Cytopathology concentration technique CPT 88108 • Pathology | $10 | $28 | $43 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $22 | $65 | $127 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $14 | $15 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $15 | $24 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $27 | $47 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $15 | $24 | $38 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $18 | $23 |