| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $37 | $56 | $94 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $45 | $57 | $64 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,164 | $2,051 | $3,610 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $470 | $1,187 | $1,632 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,266 | $2,215 | $3,870 |
| Total shoulder replacement CPT 23472 • Orthopedics | $190 | $1,207 | $1,936 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,106 | $2,375 | $5,137 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $291 | $629 | $1,381 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $219 | $416 | $973 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $337 | $503 | $645 |
| Total hip replacement CPT 27130 • Orthopedics | $175 | $839 | $1,331 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $494 | $1,250 | $1,719 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $820 | $1,747 | $3,771 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $414 | $931 | $1,261 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $842 | $1,797 | $3,878 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $792 | $1,650 | $3,482 |
| Total knee replacement CPT 27447 • Orthopedics | $175 | $865 | $1,331 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $194 | $435 | $589 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $189 | $327 | $602 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $516 | $641 | $909 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $25 | $161 | $308 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $158 | $678 | $1,097 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $388 | $656 | $1,184 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $374 | $618 | $1,068 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $354 | $629 | $926 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $134 | $971 | $2,078 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $669 | $1,744 | $5,103 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $141 | $1,216 | $2,957 |
| Carpal tunnel release CPT 64721 • Orthopedics | $262 | $434 | $735 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $113 | $201 | $303 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $185 | $257 | $305 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $97 | $162 | $252 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $108 | $215 | $288 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $1,275 | $1,927 | $2,693 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $45 | $73 | $112 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $34 | $66 | $147 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $112 | $180 | $249 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $52 | $91 | $122 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $122 | $204 | $297 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $63 | $122 | $217 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $106 | $169 | $314 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $223 | $422 | $798 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $87 | $149 | $174 |
| Cytopathology concentration technique CPT 88108 • Pathology | $28 | $59 | $111 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $17 | $69 | $157 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $16 | $19 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $9 | $14 | $22 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $24 | $43 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $14 | $19 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $19 | $29 | $45 |