| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $65 | $111 | $160 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $394 | $2,630 | $4,191 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,439 | $2,945 | $3,899 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $366 | $2,844 | $4,546 |
| Total shoulder replacement CPT 23472 • Orthopedics | $2,563 | $3,188 | $3,541 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $323 | $2,485 | $3,950 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $383 | $723 | $1,042 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $487 | $663 | $871 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $429 | $1,197 | $2,106 |
| Total hip replacement CPT 27130 • Orthopedics | $1,847 | $2,684 | $3,305 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $384 | $2,847 | $4,084 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,942 | $2,590 | $2,926 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,769 | $2,409 | $3,008 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,113 | $2,401 | $3,006 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $232 | $1,963 | $2,822 |
| Total knee replacement CPT 27447 • Orthopedics | $295 | $2,341 | $3,301 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $960 | $1,266 | $1,444 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $429 | $620 | $803 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $104 | $1,215 | $2,238 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $366 | $600 | $1,193 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $972 | $2,034 | $2,625 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $516 | $1,104 | $1,395 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $1,058 | $1,225 | $1,346 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $999 | $1,380 | $1,700 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $886 | $1,856 | $2,399 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $186 | $1,618 | $2,420 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,824 | $2,408 | $2,735 |
| Carpal tunnel release CPT 64721 • Orthopedics | $403 | $940 | $1,191 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $74 | $262 | $412 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $153 | $434 | $679 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $169 | $273 | $363 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $142 | $426 | $671 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $594 | $3,454 | $6,196 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $90 | $122 | $191 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $47 | $77 | $121 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $238 | $427 | $636 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $46 | $186 | $286 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $188 | $310 | $444 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $72 | $153 | $227 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $215 | $306 | $386 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $206 | $655 | $1,146 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $125 | $360 | $643 |
| Cytopathology concentration technique CPT 88108 • Pathology | $10 | $34 | $48 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $22 | $46 | $59 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $20 | $31 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $12 | $19 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $16 | $21 | $32 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $13 | $17 | $26 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $15 | $26 | $46 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $8 | $42 | $77 |