| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,032 | $1,815 | $3,549 |
| Carpal tunnel release CPT 64721 • Orthopedics | $403 | $693 | $1,153 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $72 | $378 | $1,190 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $100 | $463 | $853 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $86 | $202 | $452 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $92 | $406 | $840 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $384 | $2,355 | $7,550 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $54 | $86 | $114 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $33 | $77 | $125 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $75 | $396 | $748 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $55 | $276 | $722 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $85 | $234 | $449 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $51 | $113 | $226 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $132 | $232 | $378 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $179 | $581 | $1,087 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $64 | $200 | $318 |
| Cytopathology concentration technique CPT 88108 • Pathology | $16 | $53 | $81 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $22 | $67 | $136 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $12 | $24 | $37 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $15 | $21 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $19 | $30 | $41 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $21 | $33 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $30 | $43 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $4 | $29 | $41 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $14 | $46 | $86 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $21 | $80 | $149 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $69 | $317 | $588 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $141 | $325 | $550 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $15 | $89 | $142 |
| Special stain group II CPT 88313 • Pathology | $29 | $81 | $124 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $27 | $72 | $131 |
| Frozen section pathology each additional CPT 88332 • Pathology | $17 | $48 | $82 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $27 | $78 | $181 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $16 | $89 | $207 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $34 | $96 | $178 |
| Microdissection manual CPT 88381 • Pathology | $20 | $178 | $263 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $0 | $8 | $16 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $6 | $17 | $30 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $9 | $18 | $29 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $9 | $19 | $35 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $6 | $17 | $34 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $25 | $41 | $71 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $19 | $44 | $82 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $14 | $34 | $71 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $15 | $33 | $65 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $10 | $24 | $42 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $71 | $139 | $241 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $68 | $113 | $241 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $71 | $131 | $241 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $45 | $89 | $165 |