| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $2,050 | $2,477 | $2,807 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,313 | $1,914 | $2,221 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,821 | $2,190 | $2,467 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $452 | $582 | $657 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $271 | $389 | $487 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $296 | $516 | $825 |
| Total hip replacement CPT 27130 • Orthopedics | $234 | $1,180 | $2,058 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,079 | $1,691 | $2,542 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $994 | $1,334 | $1,812 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $742 | $1,227 | $1,865 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $203 | $1,132 | $1,865 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $181 | $983 | $1,758 |
| Total knee replacement CPT 27447 • Orthopedics | $246 | $1,216 | $2,057 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $567 | $697 | $869 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $301 | $362 | $471 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $293 | $746 | $1,386 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $123 | $375 | $734 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $989 | $1,412 | $1,645 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $392 | $648 | $849 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $377 | $616 | $817 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $435 | $733 | $1,059 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $160 | $910 | $1,492 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $133 | $934 | $1,464 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $174 | $1,093 | $1,665 |
| Carpal tunnel release CPT 64721 • Orthopedics | $259 | $487 | $644 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $83 | $139 | $238 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $129 | $220 | $370 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $103 | $155 | $233 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $118 | $209 | $363 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $271 | $922 | $1,946 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $39 | $85 | $120 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $33 | $50 | $73 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $60 | $177 | $325 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $28 | $85 | $131 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $77 | $144 | $255 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $58 | $84 | $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 | $69 | $137 | $254 |
| 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 | $18 | $21 |
| 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 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $30 | $35 | $44 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $54 | $56 | $59 |