| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $32 | $116 | $165 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $79 | $115 | $136 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $65 | $120 | $160 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $394 | $3,196 | $5,459 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,439 | $3,376 | $5,100 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $366 | $3,464 | $5,943 |
| Total shoulder replacement CPT 23472 • Orthopedics | $2,563 | $3,254 | $3,541 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $323 | $2,773 | $3,950 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $383 | $783 | $1,042 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $487 | $696 | $871 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $429 | $1,248 | $2,106 |
| Total hip replacement CPT 27130 • Orthopedics | $1,847 | $2,772 | $3,305 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $384 | $3,090 | $4,084 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,942 | $2,652 | $2,926 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,769 | $2,525 | $3,008 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,113 | $2,518 | $3,006 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $232 | $2,132 | $2,822 |
| Total knee replacement CPT 27447 • Orthopedics | $295 | $2,497 | $3,301 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $960 | $1,296 | $1,444 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $429 | $650 | $803 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $104 | $1,403 | $2,238 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $366 | $565 | $1,193 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $972 | $2,148 | $2,625 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $516 | $1,157 | $1,395 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $1,058 | $1,243 | $1,346 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $999 | $1,440 | $1,700 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $886 | $1,961 | $2,399 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $186 | $1,920 | $3,131 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,824 | $2,636 | $3,549 |
| Carpal tunnel release CPT 64721 • Orthopedics | $403 | $940 | $1,191 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $74 | $289 | $412 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $153 | $517 | $853 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $169 | $309 | $452 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $142 | $509 | $840 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $594 | $4,273 | $7,550 |
| 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 | $43 | $81 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $22 | $54 | $84 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $21 | $31 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $14 | $21 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $16 | $24 | $35 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $13 | $19 | $28 |