| Arthrocentesis aspiration intermediate joint CPT 20605 • Orthopedics | $39 | $59 | $78 |
| Arthrocentesis aspiration major joint CPT 20610 • Orthopedics | $30 | $66 | $94 |
| Cervical spine fusion anterior approach CPT 22551 • Orthopedics | $1,779 | $2,382 | $2,683 |
| Lumbar spine fusion posterior approach CPT 22612 • Orthopedics | $1,489 | $2,167 | $2,507 |
| Lumbar spine fusion combined approach CPT 22633 • Orthopedics | $1,801 | $2,380 | $2,902 |
| Total shoulder replacement CPT 23472 • Orthopedics | $1,417 | $2,015 | $2,314 |
| Reverse total shoulder replacement CPT 23473 • Orthopedics | $1,708 | $2,290 | $2,582 |
| Lateral epicondylitis open treatment CPT 24357 • Orthopedics | $407 | $595 | $690 |
| Closed treatment distal radial fracture CPT 25600 • Orthopedics | $254 | $414 | $508 |
| Tendon sheath incision trigger finger CPT 26055 • Orthopedics | $271 | $660 | $855 |
| Total hip replacement CPT 27130 • Orthopedics | $1,363 | $1,890 | $2,153 |
| Hip replacement conversion to total CPT 27132 • Orthopedics | $1,594 | $2,305 | $2,661 |
| Open treatment femoral fracture CPT 27236 • Orthopedics | $1,122 | $1,636 | $1,893 |
| Treatment intertrochanteric femoral fracture CPT 27244 • Orthopedics | $1,154 | $1,682 | $1,947 |
| Treatment intertrochanteric fracture with plate/screw CPT 27245 • Orthopedics | $1,171 | $1,689 | $1,947 |
| Partial knee replacement medial or lateral CPT 27446 • Orthopedics | $1,046 | $1,575 | $1,840 |
| Total knee replacement CPT 27447 • Orthopedics | $30 | $1,448 | $2,152 |
| Open treatment tibial shaft fracture CPT 27756 • Orthopedics | $528 | $778 | $903 |
| Closed treatment distal fibula fracture CPT 27786 • Orthopedics | $251 | $412 | $493 |
| Bunionectomy with osteotomy CPT 28296 • Orthopedics | $30 | $738 | $1,134 |
| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $281 | $395 | $622 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $1,015 | $1,470 | $1,698 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $640 | $805 | $887 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $30 | $584 | $853 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $647 | $951 | $1,104 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $929 | $1,352 | $1,563 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $887 | $1,309 | $1,520 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,015 | $1,491 | $1,729 |
| Carpal tunnel release CPT 64721 • Orthopedics | $384 | $575 | $670 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $70 | $193 | $255 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $114 | $222 | $258 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $158 | $158 | $158 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $97 | $147 | $246 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $398 | $1,044 | $2,066 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $73 | $98 | $125 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $38 | $64 | $77 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $106 | $267 | $347 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $128 | $135 | $139 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $92 | $213 | $273 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $53 | $109 | $137 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $132 | $192 | $222 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $245 | $505 | $670 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $194 | $247 | $277 |
| Cytopathology concentration technique CPT 88108 • Pathology | $13 | $13 | $13 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $28 | $28 | $28 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $13 | $13 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $7 | $7 | $7 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $18 | $18 | $18 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $15 | $15 | $15 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $14 | $14 |