| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $41 | $60 | $94 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,533 | $1,886 | $2,344 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $255 | $1,117 | $1,654 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $256 | $1,266 | $1,908 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,336 | $1,579 | $1,977 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,465 | $1,539 | $1,665 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $396 | $484 | $637 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $323 | $343 | $365 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $302 | $422 | $554 |
| Total hip replacement CPT 27130 • Orthopedics | $206 | $1,126 | $1,905 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $213 | $1,162 | $1,732 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $757 | $1,035 | $1,246 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,123 | $1,180 | $1,281 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,121 | $1,178 | $1,280 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $185 | $794 | $1,137 |
| Total knee replacement CPT 27447 • Orthopedics | $206 | $885 | $1,266 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $536 | $567 | $598 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $272 | $290 | $300 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $83 | $482 | $827 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $155 | $163 | $175 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $991 | $1,173 | $1,469 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $520 | $537 | $567 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $315 | $555 | $803 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $642 | $677 | $698 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $143 | $671 | $967 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $118 | $636 | $959 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $143 | $745 | $1,090 |
| Carpal tunnel release CPT 64721 • Orthopedics | $406 | $423 | $447 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $77 | $114 | $152 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $97 | $149 | $245 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $78 | $98 | $137 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $98 | $146 | $241 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $413 | $1,040 | $2,142 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $26 | $61 | $114 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $34 | $44 | $50 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $63 | $135 | $230 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $46 | $69 | $110 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $82 | $112 | $164 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $50 | $61 | $84 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $124 | $129 | $138 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $178 | $261 | $413 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $56 | $128 | $240 |
| Cytopathology concentration technique CPT 88108 • Pathology | $10 | $39 | $57 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $41 | $66 | $97 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $12 | $16 | $20 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $10 | $13 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $25 | $40 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $15 | $17 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $22 | $27 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $24 | $25 | $26 |