| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $36 | $46 | $53 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $44 | $57 | $63 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,654 | $1,815 | $2,138 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,545 | $1,589 | $1,678 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,800 | $1,926 | $2,304 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,414 | $1,541 | $1,669 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,576 | $1,814 | $2,053 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $412 | $433 | $455 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $303 | $322 | $332 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $301 | $441 | $581 |
| Total hip replacement CPT 27130 • Orthopedics | $1,254 | $1,361 | $1,574 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,631 | $1,698 | $1,832 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,166 | $1,194 | $1,251 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,199 | $1,239 | $1,279 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,198 | $1,332 | $1,601 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,127 | $1,176 | $1,274 |
| Total knee replacement CPT 27447 • Orthopedics | $1,253 | $1,364 | $1,699 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $568 | $579 | $613 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $284 | $307 | $329 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $500 | $665 | $865 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $169 | $369 | $770 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,045 | $1,116 | $1,259 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $550 | $613 | $738 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $529 | $568 | $684 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $674 | $707 | $741 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $956 | $1,014 | $1,130 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $948 | $960 | $984 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,075 | $1,107 | $1,171 |
| Carpal tunnel release CPT 64721 • Orthopedics | $433 | $436 | $441 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $158 | $189 | $250 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $258 | $272 | $301 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $109 | $128 | $137 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $125 | $211 | $254 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $455 | $1,371 | $2,287 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $74 | $78 | $82 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $47 | $48 | $48 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $242 | $302 | $422 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $79 | $94 | $110 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $110 | $150 | $170 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $64 | $80 | $88 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $149 | $152 | $159 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $294 | $401 | $437 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $24 | $114 | $240 |
| Cytopathology concentration technique CPT 88108 • Pathology | $15 | $38 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $26 | $43 | $51 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $11 | $15 | $17 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $7 | $10 | $12 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $17 | $20 | $21 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $14 | $16 | $17 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $13 | $21 | $25 |