| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $36 | $61 | $74 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $44 | $68 | $93 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $51 | $71 | $105 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $264 | $1,708 | $2,421 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $354 | $1,732 | $2,250 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $2,232 | $2,501 | $2,627 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,326 | $1,642 | $2,088 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $243 | $1,614 | $2,296 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $490 | $648 | $970 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $427 | $464 | $514 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $354 | $654 | $832 |
| Total hip replacement CPT 27130 • Orthopedics | $353 | $1,363 | $2,008 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $403 | $1,895 | $2,367 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,098 | $1,755 | $2,901 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,499 | $1,918 | $2,939 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $333 | $1,385 | $2,472 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,056 | $1,362 | $1,611 |
| Total knee replacement CPT 27447 • Orthopedics | $371 | $1,351 | $2,147 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $598 | $726 | $809 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $243 | $378 | $444 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $535 | $971 | $1,294 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $156 | $333 | $919 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $984 | $1,257 | $1,497 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $522 | $811 | $1,133 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $504 | $872 | $1,574 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $808 | $967 | $1,120 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $898 | $1,143 | $1,370 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $214 | $1,043 | $1,374 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,090 | $1,503 | $1,829 |
| Carpal tunnel release CPT 64721 • Orthopedics | $409 | $507 | $619 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $90 | $183 | $247 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $106 | $235 | $379 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $86 | $186 | $363 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $115 | $244 | $374 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $483 | $1,580 | $3,168 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $30 | $85 | $142 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $40 | $59 | $72 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $129 | $276 | $370 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $59 | $162 | $215 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $105 | $202 | $250 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $58 | $99 | $128 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $119 | $162 | $213 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $208 | $399 | $591 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $56 | $196 | $395 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $0 | $0 |
| Cytopathology concentration technique CPT 88108 • Pathology | $22 | $63 | $99 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $38 | $73 | $111 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $23 | $37 | $53 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $15 | $19 | $22 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $22 | $38 | $52 |