| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $2,050 | $2,577 | $3,107 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,313 | $1,411 | $1,484 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $243 | $1,600 | $2,737 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $452 | $604 | $702 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $271 | $329 | $367 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $284 | $397 | $611 |
| Total hip replacement CPT 27130 • Orthopedics | $1,249 | $1,329 | $1,420 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,079 | $1,414 | $1,713 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $994 | $1,337 | $1,792 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,075 | $1,621 | $2,074 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,327 | $1,748 | $2,073 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $158 | $784 | $1,184 |
| Total knee replacement CPT 27447 • Orthopedics | $1,316 | $1,399 | $1,536 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $77 | $465 | $663 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $314 | $344 | $393 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $74 | $726 | $1,544 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $177 | $401 | $734 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $176 | $754 | $1,098 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $392 | $558 | $704 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $556 | $702 | $898 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $435 | $616 | $708 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $972 | $1,018 | $1,078 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $598 | $919 | $1,204 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $685 | $1,069 | $1,441 |
| Carpal tunnel release CPT 64721 • Orthopedics | $399 | $464 | $559 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $83 | $115 | $167 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $129 | $183 | $259 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $103 | $131 | $161 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $118 | $173 | $255 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $263 | $1,036 | $2,295 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $74 | $82 | $96 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $43 | $47 | $50 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $142 | $177 | $243 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $66 | $97 | $129 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $74 | $115 | $171 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $58 | $71 | $89 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $119 | $137 | $151 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $216 | $304 | $438 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $58 | $123 | $241 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $0 | $0 |
| Cytopathology concentration technique CPT 88108 • Pathology | $10 | $30 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $22 | $70 | $127 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $17 | $20 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $12 | $18 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $41 | $63 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $16 | $24 | $37 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $19 | $25 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $8 | $23 | $34 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $37 | $39 | $44 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $42 | $53 | $64 |