| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $35 | $65 | $87 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $40 | $64 | $86 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $280 | $1,586 | $2,586 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,006 | $1,817 | $2,406 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $2,050 | $2,477 | $2,807 |
| Total shoulder replacement CPT 23472 • Orthopedics | $207 | $1,243 | $2,209 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,821 | $2,190 | $2,467 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $276 | $455 | $636 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $271 | $371 | $487 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $296 | $516 | $825 |
| Total hip replacement CPT 27130 • Orthopedics | $205 | $1,170 | $2,058 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,451 | $1,902 | $2,542 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $167 | $991 | $1,812 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,075 | $1,569 | $1,865 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,266 | $1,486 | $1,865 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,011 | $1,488 | $1,758 |
| Total knee replacement CPT 27447 • Orthopedics | $215 | $1,205 | $2,057 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $567 | $697 | $869 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $314 | $393 | $471 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $464 | $803 | $1,386 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $195 | $399 | $734 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $989 | $1,229 | $1,602 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $623 | $725 | $849 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $377 | $616 | $817 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $691 | $818 | $1,059 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $160 | $910 | $1,492 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $152 | $940 | $1,464 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $174 | $1,093 | $1,665 |
| Carpal tunnel release CPT 64721 • Orthopedics | $411 | $538 | $644 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $83 | $176 | $229 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $108 | $193 | $343 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $86 | $303 | $719 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $98 | $184 | $337 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $550 | $1,047 | $1,946 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $32 | $82 | $120 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $21 | $45 | $73 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $60 | $176 | $322 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $28 | $282 | $722 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $100 | $157 | $255 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $44 | $77 | $129 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $142 | $178 | $215 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $216 | $365 | $618 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $58 | $148 | $318 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $0 | $0 |
| Cytopathology concentration technique CPT 88108 • Pathology | $10 | $33 | $60 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $43 | $99 | $127 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $17 | $20 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $12 | $18 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $25 | $33 | $46 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $17 | $41 | $62 |