| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,689 | $1,750 | $1,812 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,983 | $2,023 | $2,064 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,503 | $1,582 | $1,662 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,679 | $1,765 | $1,850 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $437 | $462 | $487 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $332 | $356 | $381 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $339 | $452 | $566 |
| Total hip replacement CPT 27130 • Orthopedics | $1,401 | $1,438 | $1,476 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,917 | $1,917 | $1,917 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,236 | $1,304 | $1,372 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,272 | $1,342 | $1,411 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,272 | $1,341 | $1,410 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,197 | $1,258 | $1,319 |
| Total knee replacement CPT 27447 • Orthopedics | $1,400 | $1,437 | $1,474 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $588 | $629 | $669 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $321 | $345 | $368 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $594 | $656 | $719 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $182 | $190 | $197 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,080 | $1,156 | $1,232 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $579 | $615 | $650 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $558 | $592 | $626 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $724 | $760 | $797 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,018 | $1,071 | $1,124 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $1,045 | $1,115 | $1,186 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,265 | $1,309 | $1,353 |
| Carpal tunnel release CPT 64721 • Orthopedics | $505 | $518 | $535 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $127 | $158 | $187 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $260 | $282 | $300 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $159 | $169 | $179 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $257 | $278 | $296 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $478 | $1,007 | $1,537 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $48 | $70 | $91 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $39 | $46 | $53 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $250 | $261 | $282 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $100 | $113 | $128 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $198 | $223 | $269 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $59 | $98 | $136 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $123 | $146 | $175 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $479 | $547 | $657 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $199 | $237 | $276 |
| Cytopathology concentration technique CPT 88108 • Pathology | $21 | $33 | $45 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $37 | $41 | $45 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $20 | $21 | $22 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $7 | $12 | $16 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $5 | $12 | $18 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $5 | $9 | $13 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $19 | $25 | $31 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $7 | $13 | $20 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $29 | $29 | $29 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $33 | $49 | $68 |