| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $57 | $103 | $217 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $265 | $3,166 | $6,292 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $224 | $3,094 | $5,864 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,801 | $3,601 | $6,691 |
| Total shoulder replacement CPT 23472 • Orthopedics | $230 | $2,536 | $5,373 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,576 | $3,205 | $5,971 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $722 | $1,413 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $329 | $686 | $1,191 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $30 | $805 | $1,974 |
| Total hip replacement CPT 27130 • Orthopedics | $205 | $2,533 | $4,776 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,079 | $3,023 | $6,199 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $30 | $2,211 | $4,458 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $30 | $2,258 | $4,582 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,270 | $2,585 | $4,576 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $30 | $2,009 | $4,282 |
| Total knee replacement CPT 27447 • Orthopedics | $30 | $2,111 | $4,769 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $357 | $1,255 | $2,897 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $30 | $546 | $980 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $30 | $1,171 | $2,937 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $30 | $346 | $772 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $30 | $1,788 | $4,001 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $432 | $1,069 | $1,972 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $366 | $849 | $1,817 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $30 | $1,313 | $2,599 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $30 | $1,673 | $3,649 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $30 | $1,578 | $3,428 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $152 | $2,252 | $4,126 |
| Carpal tunnel release CPT 64721 • Orthopedics | $30 | $719 | $1,491 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $30 | $223 | $626 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $96 | $337 | $679 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $79 | $242 | $512 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $98 | $474 | $989 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $30 | $3,197 | $8,772 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $30 | $107 | $250 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $44 | $76 | $167 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $95 | $396 | $942 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $30 | $187 | $716 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $74 | $282 | $677 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $44 | $113 | $227 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $150 | $280 | $572 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $231 | $672 | $1,468 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $59 | $381 | $1,600 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $0 | $0 |
| Cytopathology concentration technique CPT 88108 • Pathology | $10 | $62 | $112 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $13 | $71 | $173 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $18 | $38 | $91 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $11 | $27 | $66 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $19 | $39 | $98 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $15 | $33 | $79 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $21 | $53 | $99 |