| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $44 | $77 | $97 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,753 | $2,357 | $3,665 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,654 | $2,567 | $3,417 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $240 | $2,259 | $3,905 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,424 | $2,248 | $3,137 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $243 | $1,979 | $3,485 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $626 | $926 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $198 | $459 | $789 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $284 | $572 | $832 |
| Total hip replacement CPT 27130 • Orthopedics | $1,268 | $1,802 | $2,790 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,732 | $2,610 | $3,621 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,195 | $1,696 | $2,603 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $247 | $1,527 | $2,678 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,280 | $1,838 | $2,674 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $712 | $1,624 | $2,502 |
| Total knee replacement CPT 27447 • Orthopedics | $215 | $1,494 | $2,787 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $79 | $673 | $1,312 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $216 | $422 | $721 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $411 | $1,066 | $1,932 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $27 | $207 | $367 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $176 | $1,297 | $2,334 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $392 | $749 | $1,246 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $377 | $722 | $1,202 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $435 | $906 | $1,519 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $967 | $1,522 | $2,128 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $959 | $1,348 | $2,002 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $222 | $1,343 | $2,409 |
| Carpal tunnel release CPT 64721 • Orthopedics | $447 | $674 | $996 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $77 | $199 | $362 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $106 | $312 | $572 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $78 | $329 | $990 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $98 | $330 | $563 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $271 | $1,639 | $3,444 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $41 | $69 | $109 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $28 | $49 | $71 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $95 | $284 | $538 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $42 | $138 | $241 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $90 | $228 | $391 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $50 | $119 | $199 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $119 | $197 | $329 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $178 | $527 | $959 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $56 | $260 | $519 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $0 | $0 |
| Cytopathology concentration technique CPT 88108 • Pathology | $16 | $44 | $124 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $38 | $62 | $92 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $11 | $28 | $55 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $17 | $40 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $28 | $59 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $14 | $24 | $47 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $13 | $40 | $74 |