| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $60 | $1,062 | $2,232 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $85 | $129 | $165 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $72 | $116 | $160 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $382 | $605 | $790 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $63 | $189 | $355 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $193 | $253 | $292 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $68 | $116 | $148 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $230 | $321 | $485 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $526 | $697 | $892 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $78 | $193 | $287 |
| Cytopathology concentration technique CPT 88108 • Pathology | $21 | $56 | $105 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $18 | $54 | $94 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $17 | $29 | $40 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $9 | $9 | $9 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $16 | $28 | $41 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $13 | $13 | $13 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $31 | $43 | $54 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $12 | $26 | $45 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $20 | $39 | $57 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $25 | $57 | $87 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $183 | $284 | $379 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $260 | $370 | $575 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $17 | $62 | $121 |
| Special stain group II CPT 88313 • Pathology | $11 | $37 | $77 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $83 | $97 | $110 |
| Frozen section pathology each additional CPT 88332 • Pathology | $28 | $37 | $55 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $27 | $30 | $37 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $33 | $61 | $97 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $95 | $125 | $168 |
| Microdissection manual CPT 88381 • Pathology | $45 | $81 | $118 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $8 | $8 | $9 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $20 | $29 | $38 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $24 | $30 | $36 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $24 | $34 | $44 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $19 | $28 | $44 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $36 | $38 | $40 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $26 | $36 | $46 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $22 | $56 | $90 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $23 | $46 | $83 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $23 | $23 | $24 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $111 | $118 | $126 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $93 | $123 | $166 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $93 | $201 | $308 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $76 | $86 | $93 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $27 | $39 | $51 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $42 | $43 | $44 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $40 | $69 | $98 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $44 | $44 | $45 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $60 | $103 | $147 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $52 | $90 | $127 |