| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,654 | $2,128 | $2,601 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,545 | $1,589 | $1,634 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,800 | $2,292 | $2,784 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,414 | $1,492 | $1,571 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,576 | $2,025 | $2,474 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $510 | $608 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $332 | $406 | $480 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $581 | $604 | $627 |
| Total hip replacement CPT 27130 • Orthopedics | $1,254 | $1,627 | $2,000 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,631 | $2,012 | $2,392 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,166 | $1,348 | $1,530 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,199 | $1,386 | $1,574 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $30 | $755 | $1,480 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,127 | $1,148 | $1,169 |
| Total knee replacement CPT 27447 • Orthopedics | $1,253 | $1,494 | $1,736 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $568 | $680 | $792 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $309 | $361 | $413 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $624 | $744 | $864 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $169 | $550 | $931 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,045 | $1,282 | $1,518 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $550 | $649 | $749 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $529 | $594 | $660 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $674 | $693 | $713 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $956 | $1,104 | $1,251 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $948 | $1,259 | $1,570 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,075 | $1,468 | $1,861 |
| Carpal tunnel release CPT 64721 • Orthopedics | $428 | $431 | $433 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $158 | $181 | $204 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $174 | $216 | $258 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $137 | $159 | $181 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $120 | $187 | $254 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $449 | $1,368 | $2,287 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $74 | $109 | $144 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $48 | $61 | $74 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $181 | $212 | $242 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $80 | $95 | $110 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $103 | $137 | $170 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $50 | $72 | $94 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $149 | $212 | $274 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $436 | $553 | $670 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $240 | $260 | $280 |
| Cytopathology concentration technique CPT 88108 • Pathology | $40 | $44 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $29 | $31 | $33 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $17 | $20 | $23 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $12 | $15 | $19 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $21 | $24 | $27 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $17 | $18 | $19 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $25 | $27 | $29 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $24 | $24 | $24 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $9 | $20 | $31 |