| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $40 | $83 | $193 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,072 | $2,577 | $5,509 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,510 | $2,695 | $5,147 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,932 | $3,005 | $5,958 |
| Total shoulder replacement CPT 23472 • Orthopedics | $201 | $1,947 | $4,752 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,685 | $2,745 | $5,301 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $418 | $667 | $1,416 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $154 | $450 | $1,042 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $275 | $772 | $1,755 |
| Total hip replacement CPT 27130 • Orthopedics | $1,249 | $2,594 | $5,500 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,048 | $2,438 | $5,463 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $731 | $1,671 | $3,887 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,075 | $1,842 | $3,997 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $197 | $1,961 | $3,998 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $692 | $1,675 | $3,778 |
| Total knee replacement CPT 27447 • Orthopedics | $1,344 | $2,376 | $4,419 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $88 | $761 | $1,854 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $254 | $460 | $1,013 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $451 | $921 | $1,717 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $26 | $430 | $848 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $149 | $1,437 | $3,487 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $381 | $1,130 | $2,546 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $577 | $1,113 | $2,122 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $423 | $994 | $2,267 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $949 | $1,959 | $3,821 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $904 | $1,700 | $3,121 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $169 | $1,881 | $3,694 |
| Carpal tunnel release CPT 64721 • Orthopedics | $251 | $695 | $1,376 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $83 | $264 | $523 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $108 | $374 | $797 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $98 | $348 | $990 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $98 | $389 | $782 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $263 | $1,676 | $4,242 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $49 | $95 | $151 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $48 | $71 | $118 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $92 | $222 | $375 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $63 | $116 | $202 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $74 | $260 | $561 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $63 | $125 | $282 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $128 | $257 | $456 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $216 | $672 | $1,376 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $73 | $263 | $569 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $0 | $0 |
| Cytopathology concentration technique CPT 88108 • Pathology | $21 | $46 | $91 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $22 | $61 | $127 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $25 | $32 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $14 | $23 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $34 | $62 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $18 | $25 | $34 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $32 | $44 |