| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $632 | $659 | $685 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $621 | $796 | $971 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $121 | $543 | $964 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $456 | $744 | $1,094 |
| Carpal tunnel release CPT 64721 • Orthopedics | $299 | $427 | $552 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $22 | $131 | $213 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $14 | $145 | $253 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $58 | $102 | $146 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $9 | $180 | $250 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $36 | $223 | $409 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $10 | $42 | $75 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $29 | $35 | $43 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $21 | $174 | $231 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $14 | $73 | $103 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $60 | $128 | $169 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $59 | $75 | $87 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $21 | $85 | $148 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $379 | $392 | $405 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $10 | $127 | $203 |
| Cytopathology concentration technique CPT 88108 • Pathology | $22 | $30 | $44 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $17 | $28 | $43 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $15 | $16 | $16 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $9 | $11 | $12 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $9 | $14 | $17 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $7 | $10 | $13 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $11 | $18 | $21 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $4 | $15 | $21 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $7 | $20 | $27 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $43 | $44 | $46 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $132 | $161 | $182 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $92 | $182 | $272 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $17 | $35 | $71 |
| Special stain group II CPT 88313 • Pathology | $8 | $35 | $52 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $38 | $46 | $60 |
| Frozen section pathology each additional CPT 88332 • Pathology | $16 | $28 | $34 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $31 | $43 | $61 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $64 | $69 | $72 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $26 | $42 | $75 |
| Microdissection manual CPT 88381 • Pathology | $16 | $87 | $123 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $3 | $4 | $6 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $6 | $8 | $13 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $9 | $10 | $11 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $10 | $11 | $13 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $7 | $9 | $13 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $18 | $21 | $27 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $23 | $26 | $31 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $23 | $24 | $26 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $12 | $16 | $25 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $14 | $15 | $16 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $75 | $78 | $81 |