| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $585 | $831 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $271 | $498 | $667 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $85 | $465 | $1,053 |
| Total hip replacement CPT 27130 • Orthopedics | $1,249 | $2,240 | $2,848 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,451 | $2,398 | $3,255 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $994 | $1,897 | $2,500 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $30 | $1,326 | $2,389 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,327 | $2,139 | $2,571 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,011 | $1,874 | $2,430 |
| Total knee replacement CPT 27447 • Orthopedics | $85 | $1,617 | $2,634 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $568 | $801 | $1,113 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $314 | $505 | $635 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $559 | $1,181 | $1,817 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $344 | $634 | $1,090 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $989 | $1,763 | $2,234 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $85 | $730 | $1,087 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $85 | $688 | $1,045 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $704 | $1,137 | $1,440 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,078 | $1,658 | $2,047 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $1,204 | $1,651 | $2,067 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,441 | $1,915 | $2,349 |
| Carpal tunnel release CPT 64721 • Orthopedics | $559 | $732 | $893 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $83 | $206 | $352 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $129 | $277 | $509 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $103 | $169 | $267 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $118 | $346 | $503 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $85 | $967 | $2,589 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $85 | $113 | $158 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $43 | $75 | $98 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $85 | $209 | $430 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $97 | $147 | $206 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $100 | $263 | $342 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $58 | $124 | $177 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $142 | $242 | $316 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $260 | $670 | $820 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $69 | $267 | $336 |
| Cytopathology concentration technique CPT 88108 • Pathology | $17 | $26 | $31 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $31 | $96 | $131 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $11 | $14 | $17 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $7 | $13 | $18 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $18 | $28 | $46 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $14 | $23 | $37 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $13 | $19 | $25 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $21 | $26 | $34 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $22 | $32 | $44 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $48 | $52 | $55 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $43 | $143 | $218 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $122 | $195 | $333 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $14 | $79 | $137 |
| Special stain group II CPT 88313 • Pathology | $6 | $26 | $61 |