| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $61 | $90 | $144 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,012 | $2,202 | $3,966 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,491 | $2,130 | $3,637 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $258 | $2,152 | $4,204 |
| Total shoulder replacement CPT 23472 • Orthopedics | $854 | $1,845 | $3,232 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,624 | $1,905 | $2,260 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $436 | $478 | $595 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $311 | $478 | $795 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $303 | $741 | $1,299 |
| Total hip replacement CPT 27130 • Orthopedics | $1,428 | $1,993 | $2,883 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $271 | $1,917 | $3,744 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,183 | $1,609 | $2,682 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $200 | $1,019 | $1,388 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $200 | $1,479 | $2,756 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,096 | $1,324 | $1,619 |
| Total knee replacement CPT 27447 • Orthopedics | $168 | $1,604 | $2,879 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $568 | $653 | $780 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $280 | $406 | $726 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $305 | $603 | $864 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $24 | $354 | $836 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,066 | $1,480 | $2,398 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $566 | $805 | $1,276 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $542 | $822 | $1,230 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $411 | $865 | $1,557 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $147 | $1,134 | $2,184 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $592 | $1,187 | $2,138 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $168 | $1,276 | $2,582 |
| Carpal tunnel release CPT 64721 • Orthopedics | $421 | $635 | $1,014 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $49 | $190 | $357 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $100 | $306 | $564 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $110 | $190 | $298 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $92 | $300 | $555 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $429 | $1,583 | $4,826 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $39 | $107 | $161 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $46 | $62 | $106 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $71 | $326 | $530 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $52 | $129 | $220 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $91 | $214 | $387 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $51 | $107 | $197 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $140 | $219 | $351 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $269 | $554 | $944 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $59 | $217 | $512 |
| Cytopathology concentration technique CPT 88108 • Pathology | $20 | $53 | $124 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $22 | $70 | $146 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $12 | $27 | $54 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $9 | $15 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $23 | $38 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $17 | $30 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $37 | $72 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $23 | $43 | $74 |