| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,678 | $4,094 | $5,929 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $2,304 | $5,179 | $6,915 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,669 | $3,865 | $5,431 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $2,053 | $4,476 | $6,066 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $455 | $1,116 | $1,587 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $303 | $772 | $1,195 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $739 | $1,565 | $2,020 |
| Total hip replacement CPT 27130 • Orthopedics | $1,574 | $3,641 | $5,058 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,832 | $4,369 | $6,247 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,251 | $3,072 | $4,454 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,279 | $3,108 | $4,585 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,601 | $3,473 | $4,584 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,274 | $2,980 | $4,321 |
| Total knee replacement CPT 27447 • Orthopedics | $1,699 | $3,788 | $5,056 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $613 | $1,470 | $2,120 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $282 | $776 | $1,157 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $680 | $1,922 | $2,665 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $660 | $1,215 | $2,215 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,259 | $2,937 | $3,939 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $738 | $1,690 | $2,245 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $684 | $1,595 | $2,092 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $741 | $1,867 | $2,601 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,130 | $2,687 | $3,670 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $984 | $2,508 | $3,603 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,171 | $2,881 | $4,107 |
| Carpal tunnel release CPT 64721 • Orthopedics | $441 | $1,116 | $1,582 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $80 | $290 | $592 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $137 | $256 | $376 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $109 | $205 | $300 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $125 | $467 | $808 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $455 | $2,220 | $4,846 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $82 | $228 | $310 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $47 | $118 | $178 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $324 | $517 | $807 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $79 | $202 | $324 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $110 | $423 | $635 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $64 | $218 | $320 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $176 | $388 | $528 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $294 | $878 | $1,538 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $214 | $360 | $633 |
| Cytopathology concentration technique CPT 88108 • Pathology | $17 | $28 | $40 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $32 | $32 | $33 |
| 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 | $17 | $21 | $24 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $14 | $17 | $19 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $13 | $21 | $29 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $21 | $21 | $22 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $9 | $15 | $22 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $31 | $40 | $49 |