| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,654 | $1,942 | $2,221 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,545 | $1,637 | $1,734 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,800 | $2,094 | $2,394 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,414 | $1,553 | $1,674 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,576 | $1,855 | $2,133 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $447 | $473 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $285 | $306 | $332 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $312 | $507 | $627 |
| Total hip replacement CPT 27130 • Orthopedics | $1,254 | $1,449 | $1,592 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,631 | $1,752 | $1,868 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,166 | $1,230 | $1,298 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,199 | $1,232 | $1,287 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,198 | $1,419 | $1,580 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,127 | $1,182 | $1,249 |
| Total knee replacement CPT 27447 • Orthopedics | $1,253 | $1,525 | $1,713 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $568 | $592 | $622 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $273 | $303 | $328 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $500 | $643 | $805 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $169 | $538 | $747 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,045 | $1,134 | $1,219 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $550 | $670 | $752 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $529 | $630 | $700 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $674 | $714 | $756 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $956 | $1,028 | $1,101 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $948 | $978 | $1,016 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,075 | $1,120 | $1,173 |
| Carpal tunnel release CPT 64721 • Orthopedics | $428 | $439 | $455 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $76 | $146 | $204 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $142 | $229 | $287 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $114 | $144 | $181 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $120 | $168 | $254 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $449 | $1,070 | $2,287 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $74 | $87 | $112 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $45 | $51 | $61 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $113 | $158 | $242 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $110 | $151 | $184 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $103 | $158 | $201 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $66 | $83 | $94 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $149 | $164 | $183 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $306 | $415 | $503 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $71 | $184 | $242 |
| Cytopathology concentration technique CPT 88108 • Pathology | $19 | $29 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $25 | $36 | $51 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $11 | $16 | $21 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $7 | $12 | $17 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $5 | $17 | $24 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $5 | $14 | $19 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $13 | $22 | $29 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $3 | $16 | $24 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $5 | $15 | $31 |