| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $2,491 | $3,031 | $3,571 |
| Total shoulder replacement CPT 23472 • Orthopedics | $265 | $1,106 | $1,948 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $2,173 | $2,309 | $2,444 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $557 | $600 | $644 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $437 | $476 | $515 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $303 | $528 | $752 |
| Total hip replacement CPT 27130 • Orthopedics | $1,682 | $1,749 | $1,816 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $2,183 | $2,214 | $2,245 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,567 | $1,584 | $1,602 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $200 | $924 | $1,649 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $200 | $924 | $1,648 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $163 | $858 | $1,552 |
| Total knee replacement CPT 27447 • Orthopedics | $269 | $1,042 | $1,815 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $596 | $684 | $772 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $303 | $360 | $417 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $426 | $826 | $1,226 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $24 | $350 | $791 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,089 | $1,263 | $1,412 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $578 | $664 | $751 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $723 | $900 | $1,077 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $933 | $1,149 | $1,365 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $807 | $1,062 | $1,317 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $1,212 | $1,258 | $1,304 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,134 | $1,307 | $1,479 |
| Carpal tunnel release CPT 64721 • Orthopedics | $578 | $726 | $873 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $68 | $140 | $212 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $162 | $259 | $335 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $103 | $153 | $203 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $100 | $236 | $331 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $341 | $1,240 | $2,139 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $34 | $68 | $102 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $33 | $48 | $63 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $71 | $185 | $300 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $52 | $91 | $130 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $101 | $169 | $229 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $51 | $75 | $116 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $161 | $179 | $197 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $250 | $420 | $548 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $59 | $158 | $226 |
| Cytopathology concentration technique CPT 88108 • Pathology | $10 | $25 | $41 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $19 | $30 | $42 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $12 | $23 | $35 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $11 | $16 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $24 | $32 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $19 | $26 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $25 | $37 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $9 | $16 | $23 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $28 | $33 | $38 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $36 | $38 | $39 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $80 | $160 | $241 |