| Arthrocentesis aspiration small joint CPT 20600 • Orthopedics | $34 | $59 | $78 |
| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $30 | $58 | $87 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $30 | $49 | $92 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $53 | $1,330 | $1,891 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $50 | $957 | $2,040 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $57 | $1,384 | $2,050 |
| Total shoulder replacement CPT 23472 • Orthopedics | $30 | $800 | $1,790 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $51 | $915 | $1,821 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $276 | $439 | $601 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $10 | $245 | $355 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $10 | $161 | $314 |
| Total hip replacement CPT 27130 • Orthopedics | $30 | $783 | $1,340 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $53 | $1,049 | $2,290 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $38 | $948 | $1,564 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $39 | $621 | $1,206 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $39 | $1,095 | $2,002 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $36 | $723 | $1,592 |
| Total knee replacement CPT 27447 • Orthopedics | $30 | $576 | $1,590 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $91 | $538 | $824 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $10 | $308 | $579 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $30 | $371 | $723 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $5 | $191 | $734 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $30 | $710 | $1,097 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $30 | $603 | $934 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $30 | $509 | $898 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $435 | $748 | $977 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $30 | $818 | $1,769 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $29 | $756 | $2,297 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $30 | $757 | $1,441 |
| Carpal tunnel release CPT 64721 • Orthopedics | $30 | $354 | $638 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $5 | $92 | $168 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $8 | $122 | $251 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $103 | $219 | $494 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $8 | $147 | $255 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $30 | $324 | $646 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $21 | $104 | $309 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $30 | $47 | $70 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $8 | $94 | $177 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $28 | $72 | $113 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $6 | $101 | $181 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $44 | $69 | $94 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $5 | $122 | $178 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $260 | $416 | $742 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $8 | $95 | $249 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $0 | $0 |
| Cytopathology concentration technique CPT 88108 • Pathology | $30 | $61 | $96 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $16 | $66 | $127 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $14 | $29 | $48 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $17 | $24 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $13 | $30 | $47 |