| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $42 | $740 | $1,437 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $42 | $86 | $151 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $66 | $105 | $172 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $351 | $448 | $580 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $42 | $130 | $183 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $250 | $431 | $613 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $127 | $220 | $313 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $203 | $240 | $279 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $592 | $662 | $803 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $147 | $242 | $331 |
| Cytopathology concentration technique CPT 88108 • Pathology | $64 | $153 | $242 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $41 | $55 | $68 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $20 | $21 | $22 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $14 | $39 | $65 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $25 | $60 | $95 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $13 | $16 | $20 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $117 | $117 | $117 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $4 | $18 | $32 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $38 | $40 | $42 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $24 | $24 | $24 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $52 | $214 | $296 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $189 | $319 | $450 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $115 | $250 | $386 |
| Special stain group II CPT 88313 • Pathology | $40 | $62 | $83 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $348 | $348 | $348 |
| Frozen section pathology each additional CPT 88332 • Pathology | $19 | $37 | $55 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $39 | $67 | $95 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $34 | $71 | $108 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $127 | $133 | $138 |
| Microdissection manual CPT 88381 • Pathology | $12 | $110 | $209 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $6 | $10 | $17 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $9 | $13 | $16 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $17 | $29 | $41 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $11 | $12 | $13 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $11 | $12 | $13 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $27 | $57 | $102 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $47 | $82 | $114 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $75 | $89 | $102 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $39 | $69 | $97 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $16 | $17 | $19 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $91 | $198 | $349 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $91 | $199 | $349 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $66 | $66 | $66 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $60 | $62 | $63 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $31 | $59 | $91 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $30 | $72 | $114 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $29 | $30 | $31 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $31 | $32 | $33 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $45 | $48 | $51 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $38 | $91 | $144 |