| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $158 | $3,183 | $6,954 |
| Total hip replacement CPT 27130 • Orthopedics | $173 | $3,863 | $8,806 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,404 | $4,682 | $8,806 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $161 | $4,110 | $7,945 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $743 | $4,181 | $7,945 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $145 | $3,294 | $7,944 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $155 | $4,051 | $7,945 |
| Total knee replacement CPT 27447 • Orthopedics | $1,430 | $4,791 | $8,807 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $79 | $3,413 | $6,954 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $286 | $3,255 | $6,954 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $79 | $3,578 | $6,954 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $23 | $2,891 | $6,954 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $648 | $4,394 | $7,945 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $344 | $2,752 | $6,953 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $291 | $3,477 | $6,954 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $585 | $3,455 | $6,954 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $591 | $3,634 | $6,954 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $888 | $4,076 | $7,945 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,163 | $3,626 | $7,944 |
| Carpal tunnel release CPT 64721 • Orthopedics | $268 | $3,354 | $6,954 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $74 | $3,075 | $6,954 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $102 | $2,668 | $6,954 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $113 | $2,475 | $6,953 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $94 | $3,137 | $6,954 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $493 | $3,918 | $6,954 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $60 | $2,584 | $6,953 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $17 | $3,009 | $6,954 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $59 | $2,460 | $6,953 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $64 | $3,044 | $6,954 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $76 | $2,429 | $6,953 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $48 | $3,051 | $6,954 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $118 | $3,132 | $6,954 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $183 | $3,242 | $6,954 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $83 | $2,662 | $6,954 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $3,670 | $5,859 | $6,953 |
| Cytopathology concentration technique CPT 88108 • Pathology | $20 | $99 | $235 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $19 | $68 | $128 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $37 | $60 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $24 | $35 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $45 | $61 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $34 | $49 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $54 | $75 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $7 | $40 | $59 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $13 | $59 | $110 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $36 | $81 | $128 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $66 | $303 | $508 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $99 | $442 | $776 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $18 | $122 | $188 |
| Special stain group II CPT 88313 • Pathology | $24 | $121 | $198 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $39 | $98 | $181 |