| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $912 | $946 | $980 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,285 | $1,341 | $1,414 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $197 | $1,556 | $3,603 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $233 | $1,956 | $4,107 |
| Carpal tunnel release CPT 64721 • Orthopedics | $537 | $851 | $1,582 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $100 | $201 | $319 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $121 | $250 | $351 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $229 | $245 | $261 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $339 | $460 | $739 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $596 | $1,434 | $2,962 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $40 | $91 | $133 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $66 | $98 | $178 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $126 | $363 | $807 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $137 | $172 | $219 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $224 | $404 | $635 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $120 | $193 | $320 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $183 | $287 | $528 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $250 | $672 | $1,538 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $86 | $117 | $174 |
| Cytopathology concentration technique CPT 88108 • Pathology | $26 | $53 | $80 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $25 | $52 | $79 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $28 | $33 | $38 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $22 | $23 | $24 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $33 | $46 | $58 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $32 | $32 | $32 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $17 | $28 | $40 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $30 | $52 | $73 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $16 | $28 | $40 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $22 | $31 | $41 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $76 | $211 | $432 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $105 | $305 | $504 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $42 | $170 | $298 |
| Special stain group II CPT 88313 • Pathology | $7 | $111 | $216 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $53 | $103 | $153 |
| Frozen section pathology each additional CPT 88332 • Pathology | $18 | $41 | $64 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $36 | $138 | $230 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $63 | $207 | $386 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $32 | $104 | $188 |
| Microdissection manual CPT 88381 • Pathology | $80 | $156 | $232 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $4 | $6 | $10 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $10 | $15 | $19 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $7 | $13 | $16 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $9 | $17 | $23 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $12 | $17 | $19 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $43 | $54 | $70 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $23 | $38 | $47 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $25 | $28 | $37 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $34 | $46 | $63 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $24 | $26 | $27 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $84 | $112 | $136 |