| Colonoscopy diagnostic | CPT | 45378 | 2 | $693.02 |
| Colonoscopy with biopsy | CPT | 45380 | 2 | $858.04 |
| Colonoscopy with polyp removal | CPT | 45385 | 2 | $910.36 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 2 | $2,364.52 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 2 | $259.32 |
| Total hip replacement | CPT | 27130 | 2 | $8,483.55 |
| Total knee replacement | CPT | 27447 | 2 | $8,481.81 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 2 | $644.8 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 2 | $659.9 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 2 | $616.06 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 2 | $580.1 |
| CABG single arterial graft | CPT | 33533 | 2 | $2,804.77 |
| CABG 2 arterial grafts | CPT | 33534 | 2 | $3,295.87 |
| CABG 3 arterial grafts | CPT | 33535 | 2 | $3,662.66 |
| Total shoulder arthroplasty | CPT | 23472 | 2 | $11,716 |
| Hip hemiarthroplasty | CPT | 27125 | 2 | $1,716.14 |
| Knee revision arthroplasty single component | CPT | 27486 | 2 | $2,127.37 |
| Knee revision arthroplasty all components | CPT | 27487 | 2 | $2,651.06 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 2 | $5,074.64 |
| ACL reconstruction | CPT | 29888 | 2 | $4,976.8 |
| Open appendectomy | CPT | 44950 | 2 | $4,143.65 |
| Laparoscopic appendectomy | CPT | 44970 | 2 | $3,876.12 |
| Laparoscopic cholecystectomy | CPT | 47562 | 2 | $3,938.95 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 2 | $4,000.46 |
| Lap inguinal hernia repair | CPT | 49650 | 2 | $3,698.54 |
| Total abdominal hysterectomy | CPT | 58150 | 2 | $1,538.53 |
| Vaginal hysterectomy | CPT | 58260 | 2 | $3,606.46 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 2 | $4,152.38 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 2 | $6,798.98 |
| Lap salpingo-oophorectomy | CPT | 58661 | 2 | $3,916.38 |