| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $245 | $1,845 | $2,656 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,006 | $1,981 | $2,471 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $2,050 | $2,579 | $2,884 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,313 | $2,003 | $2,269 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,821 | $2,276 | $2,534 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $452 | $600 | $657 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $271 | $417 | $500 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $296 | $599 | $848 |
| Total hip replacement CPT 27130 • Orthopedics | $234 | $1,414 | $2,114 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,079 | $1,921 | $2,611 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $994 | $1,466 | $1,862 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $742 | $1,400 | $1,916 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $203 | $1,328 | $1,916 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $181 | $1,189 | $1,806 |
| Total knee replacement CPT 27447 • Orthopedics | $246 | $1,440 | $2,113 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $567 | $746 | $892 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $301 | $392 | $484 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $293 | $915 | $1,423 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $123 | $350 | $734 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $989 | $1,470 | $1,645 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $392 | $704 | $872 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $377 | $671 | $839 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $435 | $822 | $1,088 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $160 | $1,066 | $1,532 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $133 | $1,076 | $1,504 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $174 | $1,248 | $1,710 |
| Carpal tunnel release CPT 64721 • Orthopedics | $259 | $531 | $662 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $83 | $165 | $245 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $129 | $260 | $380 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $103 | $176 | $239 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $118 | $250 | $373 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $271 | $1,192 | $1,999 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $39 | $94 | $123 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $33 | $56 | $75 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $60 | $216 | $334 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $28 | $98 | $135 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $77 | $174 | $262 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $58 | $96 | $133 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $142 | $189 | $221 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $216 | $432 | $635 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $69 | $168 | $261 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $0 | $0 |
| Cytopathology concentration technique CPT 88108 • Pathology | $16 | $32 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $29 | $66 | $127 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $15 | $17 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $9 | $12 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $20 | $25 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $17 | $22 | $26 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $19 | $25 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $13 | $24 | $34 |