| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $519 | $1,676 | $3,031 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $55 | $96 | $176 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $82 | $97 | $108 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $140 | $322 | $570 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $121 | $193 | $262 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $170 | $244 | $354 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $99 | $136 | $179 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $129 | $238 | $298 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $765 | $882 | $963 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $209 | $348 | $395 |
| Cytopathology concentration technique CPT 88108 • Pathology | $23 | $72 | $129 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $34 | $74 | $140 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $32 | $46 | $68 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $15 | $15 | $15 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $23 | $30 | $37 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $21 | $21 | $21 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $32 | $50 | $77 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $28 | $40 | $63 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $15 | $43 | $84 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $39 | $61 | $94 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $107 | $367 | $614 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $152 | $394 | $840 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $28 | $88 | $202 |
| Special stain group II CPT 88313 • Pathology | $16 | $82 | $142 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $81 | $116 | $166 |
| Frozen section pathology each additional CPT 88332 • Pathology | $32 | $61 | $110 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $37 | $106 | $187 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $46 | $126 | $220 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $49 | $111 | $237 |
| Microdissection manual CPT 88381 • Pathology | $103 | $136 | $169 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $6 | $9 | $14 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $8 | $17 | $27 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $8 | $19 | $33 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $10 | $21 | $33 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $13 | $19 | $27 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $33 | $46 | $68 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $34 | $40 | $44 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $29 | $38 | $49 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $30 | $44 | $71 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $12 | $15 | $18 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $82 | $119 | $170 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $82 | $124 | $170 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $82 | $119 | $170 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $56 | $86 | $128 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $35 | $44 | $49 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $35 | $54 | $73 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $22 | $25 | $31 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $34 | $49 | $69 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $39 | $40 | $42 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $29 | $31 | $34 |