| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $423 | $485 | $548 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $779 | $795 | $811 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $402 | $594 | $787 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $184 | $654 | $1,125 |
| Carpal tunnel release CPT 64721 • Orthopedics | $233 | $339 | $445 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $29 | $97 | $165 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $97 | $101 | $107 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $12 | $86 | $133 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $41 | $152 | $262 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $50 | $977 | $1,905 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $8 | $42 | $76 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $30 | $40 | $50 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $31 | $104 | $177 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $41 | $67 | $105 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $77 | $84 | $90 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $51 | $60 | $69 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $120 | $147 | $171 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $192 | $195 | $199 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $16 | $72 | $128 |
| Cytopathology concentration technique CPT 88108 • Pathology | $36 | $43 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $36 | $42 | $51 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $9 | $14 | $17 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $5 | $9 | $13 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $5 | $14 | $21 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $3 | $11 | $17 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $4 | $16 | $26 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $4 | $14 | $24 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $19 | $25 | $32 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $23 | $31 | $40 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $50 | $122 | $162 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $87 | $170 | $333 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $17 | $44 | $86 |
| Special stain group II CPT 88313 • Pathology | $7 | $35 | $62 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $18 | $29 | $39 |
| Frozen section pathology each additional CPT 88332 • Pathology | $6 | $27 | $42 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $18 | $43 | $68 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $35 | $58 | $77 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $25 | $32 | $40 |
| Microdissection manual CPT 88381 • Pathology | $36 | $100 | $160 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $3 | $4 | $6 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $8 | $10 | $14 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $9 | $10 | $12 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $9 | $11 | $15 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $7 | $8 | $10 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $16 | $21 | $30 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $17 | $23 | $35 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $14 | $19 | $27 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $15 | $18 | $25 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $10 | $12 | $16 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $49 | $55 | $60 |