| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $44 | $929 | $2,211 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $55 | $88 | $176 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $82 | $97 | $108 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $279 | $446 | $570 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $66 | $188 | $305 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $170 | $303 | $385 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $99 | $154 | $193 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $152 | $252 | $312 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $279 | $761 | $963 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $138 | $285 | $395 |
| Cytopathology concentration technique CPT 88108 • Pathology | $23 | $72 | $129 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $36 | $80 | $140 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $32 | $46 | $68 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $11 | $13 | $15 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $17 | $27 | $37 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $21 | $21 | $21 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $29 | $34 | $41 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $9 | $34 | $63 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $34 | $54 | $84 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $49 | $93 | $160 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $199 | $395 | $614 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $190 | $437 | $840 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $28 | $88 | $202 |
| Special stain group II CPT 88313 • Pathology | $12 | $72 | $142 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $38 | $87 | $166 |
| Frozen section pathology each additional CPT 88332 • Pathology | $32 | $61 | $110 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $37 | $111 | $187 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $46 | $133 | $220 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $55 | $153 | $237 |
| Microdissection manual CPT 88381 • Pathology | $103 | $113 | $123 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $5 | $8 | $14 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $16 | $25 | $37 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $14 | $22 | $33 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $19 | $32 | $45 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $13 | $19 | $27 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $33 | $46 | $68 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $34 | $40 | $44 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $29 | $45 | $67 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $30 | $33 | $38 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $17 | $17 | $18 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $82 | $119 | $170 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $82 | $129 | $191 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $82 | $126 | $191 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $56 | $96 | $128 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $35 | $44 | $49 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $35 | $54 | $73 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $31 | $31 | $31 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $34 | $49 | $69 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $39 | $64 | $89 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $34 | $37 | $40 |