| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $38 | $71 | $109 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $337 | $1,802 | $2,927 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $356 | $1,510 | $2,274 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $312 | $2,112 | $3,621 |
| Total shoulder replacement CPT 23472 • Orthopedics | $242 | $1,539 | $2,561 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $236 | $1,766 | $3,079 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $259 | $487 | $813 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $206 | $383 | $616 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $338 | $498 | $634 |
| Total hip replacement CPT 27130 • Orthopedics | $309 | $1,706 | $3,399 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $414 | $1,683 | $2,635 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $748 | $1,607 | $2,503 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $770 | $1,258 | $1,897 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $769 | $1,849 | $2,585 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $215 | $1,497 | $2,876 |
| Total knee replacement CPT 27447 • Orthopedics | $848 | $2,703 | $6,848 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $194 | $590 | $962 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $195 | $341 | $461 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $567 | $769 | $936 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $109 | $673 | $1,085 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $268 | $1,181 | $1,888 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $351 | $821 | $1,062 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $338 | $676 | $918 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $433 | $811 | $992 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $613 | $1,229 | $1,543 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $609 | $1,827 | $5,103 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $691 | $1,217 | $1,719 |
| Carpal tunnel release CPT 64721 • Orthopedics | $268 | $473 | $641 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $100 | $232 | $316 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $67 | $163 | $270 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $92 | $141 | $247 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $62 | $300 | $533 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $258 | $1,089 | $2,212 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $36 | $79 | $105 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $30 | $49 | $62 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $146 | $299 | $470 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $32 | $123 | $242 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $56 | $166 | $263 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $55 | $110 | $178 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $94 | $177 | $238 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $138 | $319 | $424 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $37 | $102 | $181 |
| Cytopathology concentration technique CPT 88108 • Pathology | $24 | $40 | $53 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $33 | $69 | $113 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $16 | $30 | $41 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $4 | $11 | $16 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $16 | $33 | $41 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $21 | $33 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $21 | $39 | $54 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $15 | $26 | $41 |