| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $874 | $2,462 | $4,281 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $136 | $204 | $259 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $110 | $132 | $154 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $574 | $690 | $790 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $149 | $241 | $291 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $369 | $454 | $555 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $148 | $205 | $278 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $247 | $344 | $464 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $534 | $976 | $1,343 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $225 | $369 | $556 |
| Cytopathology concentration technique CPT 88108 • Pathology | $40 | $64 | $109 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $45 | $67 | $108 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $21 | $30 | $38 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $9 | $20 | $30 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $21 | $33 | $45 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $18 | $27 | $36 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $21 | $43 | $54 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $12 | $28 | $52 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $19 | $36 | $68 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $45 | $64 | $87 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $57 | $232 | $456 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $170 | $372 | $687 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $18 | $81 | $178 |
| Special stain group II CPT 88313 • Pathology | $8 | $53 | $130 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $64 | $91 | $110 |
| Frozen section pathology each additional CPT 88332 • Pathology | $21 | $54 | $87 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $19 | $92 | $144 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $71 | $112 | $168 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $56 | $72 | $95 |
| Microdissection manual CPT 88381 • Pathology | $17 | $126 | $316 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $6 | $7 | $8 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $15 | $18 | $20 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $18 | $21 | $25 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $19 | $25 | $33 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $13 | $17 | $22 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $32 | $43 | $55 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $33 | $38 | $43 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $28 | $32 | $36 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $30 | $33 | $38 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $21 | $21 | $22 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $81 | $91 | $102 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $82 | $108 | $166 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $83 | $92 | $102 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $69 | $77 | $82 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $34 | $39 | $44 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $44 | $63 | $81 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $39 | $67 | $82 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $41 | $61 | $81 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $37 | $43 | $48 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $42 | $68 | $82 |