| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $45 | $82 | $114 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,388 | $2,293 | $3,095 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,288 | $2,205 | $3,254 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,965 | $2,860 | $3,511 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,467 | $2,236 | $2,790 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,715 | $2,384 | $3,304 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $339 | $576 | $845 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $375 | $535 | $633 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $311 | $731 | $989 |
| Total hip replacement CPT 27130 • Orthopedics | $1,306 | $1,989 | $2,481 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,784 | $2,687 | $3,414 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $246 | $1,451 | $2,134 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,320 | $2,017 | $3,490 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,318 | $1,756 | $2,194 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,172 | $1,781 | $2,218 |
| Total knee replacement CPT 27447 • Orthopedics | $231 | $1,537 | $2,296 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $45 | $509 | $914 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $309 | $495 | $634 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $106 | $1,032 | $1,859 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $35 | $207 | $307 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,093 | $1,519 | $1,908 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $584 | $877 | $1,088 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $564 | $775 | $970 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $560 | $918 | $1,234 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $996 | $1,386 | $1,740 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $988 | $1,459 | $1,773 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $229 | $1,344 | $2,012 |
| Carpal tunnel release CPT 64721 • Orthopedics | $354 | $592 | $793 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $79 | $202 | $279 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $109 | $308 | $438 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $80 | $221 | $514 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $101 | $287 | $429 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $425 | $2,271 | $3,565 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $43 | $95 | $127 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $28 | $59 | $86 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $114 | $296 | $412 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $45 | $99 | $170 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $93 | $208 | $302 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $51 | $115 | $156 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $128 | $204 | $272 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $183 | $498 | $733 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $58 | $295 | $576 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $0 | $0 |
| Cytopathology concentration technique CPT 88108 • Pathology | $7 | $50 | $117 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $19 | $72 | $127 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $28 | $43 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $19 | $42 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $28 | $49 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $16 | $27 | $44 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $38 | $59 |