| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $1,676 | $1,679 | $1,682 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $2,381 | $2,384 | $2,387 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $2,344 | $2,738 | $3,131 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $2,662 | $3,105 | $3,549 |
| Carpal tunnel release CPT 64721 • Orthopedics | $850 | $951 | $1,052 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $174 | $184 | $205 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $265 | $283 | $293 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $92 | $150 | $208 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $611 | $725 | $840 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $1,018 | $4,284 | $7,550 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $105 | $105 | $105 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $95 | $106 | $118 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $274 | $352 | $430 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $59 | $154 | $249 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $339 | $377 | $415 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $75 | $125 | $172 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $287 | $323 | $359 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $575 | $794 | $994 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $19 | $83 | $148 |
| Cytopathology concentration technique CPT 88108 • Pathology | $14 | $48 | $81 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $39 | $62 | $84 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $15 | $22 | $28 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $9 | $15 | $21 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $16 | $26 | $35 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $4 | $15 | $28 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $20 | $31 | $43 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $13 | $27 | $40 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $7 | $30 | $52 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $23 | $26 | $29 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $51 | $221 | $361 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $89 | $319 | $550 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $44 | $93 | $142 |
| Special stain group II CPT 88313 • Pathology | $43 | $66 | $102 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $58 | $75 | $93 |
| Frozen section pathology each additional CPT 88332 • Pathology | $13 | $41 | $69 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $53 | $82 | $112 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $39 | $83 | $128 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $26 | $62 | $99 |
| Microdissection manual CPT 88381 • Pathology | $15 | $139 | $263 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $4 | $7 | $10 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $14 | $17 | $20 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $12 | $20 | $28 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $10 | $12 | $15 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $14 | $24 | $34 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $30 | $50 | $71 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $35 | $45 | $56 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $30 | $50 | $71 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $28 | $39 | $51 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $18 | $30 | $42 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $84 | $162 | $241 |