| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $41 | $3,666 | $6,112 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $37 | $177 | $293 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $37 | $102 | $178 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $16 | $493 | $807 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $17 | $213 | $324 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $171 | $426 | $635 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $38 | $165 | $320 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $18 | $290 | $528 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $28 | $915 | $1,538 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $44 | $305 | $644 |
| Cytopathology concentration technique CPT 88108 • Pathology | $48 | $48 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $22 | $47 | $73 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $17 | $21 | $25 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $3 | $11 | $20 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $21 | $26 | $31 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $9 | $17 | $25 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $5 | $21 | $36 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $12 | $20 | $28 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $23 | $28 | $34 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $11 | $24 | $38 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $155 | $190 | $225 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $113 | $295 | $478 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $65 | $94 | $122 |
| Special stain group II CPT 88313 • Pathology | $62 | $75 | $89 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $79 | $96 | $113 |
| Frozen section pathology each additional CPT 88332 • Pathology | $21 | $24 | $27 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $31 | $38 | $46 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $27 | $68 | $110 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $83 | $88 | $93 |
| Microdissection manual CPT 88381 • Pathology | $19 | $106 | $192 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $5 | $11 | $17 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $10 | $22 | $33 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $10 | $21 | $32 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $12 | $26 | $39 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $12 | $25 | $39 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $25 | $52 | $80 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $29 | $60 | $91 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $25 | $52 | $80 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $23 | $48 | $74 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $15 | $31 | $48 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $42 | $157 | $272 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $84 | $178 | $272 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $42 | $157 | $272 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $58 | $123 | $188 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $31 | $65 | $100 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $27 | $58 | $89 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $27 | $56 | $86 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $28 | $60 | $91 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $40 | $85 | $130 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $35 | $73 | $112 |