| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $640 | $648 | $657 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $680 | $822 | $963 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $873 | $889 | $906 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $149 | $610 | $1,071 |
| Carpal tunnel release CPT 64721 • Orthopedics | $59 | $230 | $401 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $137 | $146 | $156 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $103 | $144 | $226 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $82 | $112 | $142 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $98 | $139 | $179 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $41 | $660 | $1,555 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $10 | $49 | $75 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $46 | $46 | $46 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $24 | $66 | $107 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $24 | $74 | $103 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $87 | $88 | $89 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $49 | $50 | $52 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $126 | $134 | $143 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $221 | $320 | $418 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $11 | $82 | $177 |
| Cytopathology concentration technique CPT 88108 • Pathology | $16 | $27 | $38 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $20 | $23 | $26 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $22 | $25 | $27 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $9 | $11 | $13 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $22 | $27 | $32 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $5 | $14 | $25 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $17 | $24 | $27 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $4 | $29 | $54 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $35 | $49 | $63 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $47 | $60 | $72 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $133 | $179 | $226 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $171 | $191 | $211 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $38 | $73 | $108 |
| Special stain group II CPT 88313 • Pathology | $16 | $32 | $48 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $32 | $52 | $88 |
| Frozen section pathology each additional CPT 88332 • Pathology | $8 | $22 | $36 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $20 | $31 | $42 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $36 | $44 | $51 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $48 | $69 | $86 |
| Microdissection manual CPT 88381 • Pathology | $85 | $135 | $184 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $3 | $4 | $5 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $14 | $14 | $15 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $12 | $12 | $13 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $14 | $15 | $18 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $14 | $14 | $14 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $21 | $24 | $30 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $14 | $21 | $34 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $19 | $23 | $30 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $13 | $20 | $27 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $14 | $15 | $18 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $29 | $56 | $83 |