| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $45 | $492 | $1,117 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $132 | $857 | $1,582 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $904 | $1,116 | $1,539 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,029 | $1,270 | $1,751 |
| Carpal tunnel release CPT 64721 • Orthopedics | $378 | $478 | $678 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $13 | $105 | $258 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $158 | $276 | $393 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $8 | $76 | $143 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $21 | $204 | $386 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $53 | $834 | $2,091 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $8 | $41 | $74 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $23 | $47 | $77 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $14 | $183 | $352 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $15 | $78 | $141 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $78 | $166 | $277 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $34 | $82 | $139 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $12 | $115 | $200 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $134 | $387 | $678 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $107 | $194 | $281 |
| Cytopathology concentration technique CPT 88108 • Pathology | $25 | $46 | $74 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $18 | $31 | $42 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $10 | $20 | $30 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $2 | $8 | $14 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $20 | $25 | $35 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $11 | $14 | $20 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $4 | $18 | $30 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $15 | $21 | $28 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $18 | $28 | $41 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $30 | $86 | $150 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $33 | $157 | $272 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $159 | $227 | $269 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $44 | $56 | $62 |
| Special stain group II CPT 88313 • Pathology | $25 | $68 | $142 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $12 | $29 | $40 |
| Frozen section pathology each additional CPT 88332 • Pathology | $13 | $29 | $42 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $35 | $48 | $59 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $66 | $75 | $84 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $52 | $53 | $54 |
| Microdissection manual CPT 88381 • Pathology | $16 | $81 | $152 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $3 | $4 | $6 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $9 | $11 | $15 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $11 | $13 | $18 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $10 | $13 | $19 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $7 | $9 | $12 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $18 | $23 | $31 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $19 | $24 | $32 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $15 | $20 | $28 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $16 | $21 | $29 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $9 | $12 | $17 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $46 | $57 | $78 |