| Arthroscopy shoulder decompression CPT 29826 • Orthopedics | $169 | $1,433 | $8,979 |
| Arthroscopy shoulder rotator cuff repair CPT 29827 • Orthopedics | $989 | $2,553 | $14,204 |
| Arthroscopy knee with meniscectomy medial and lateral CPT 29880 • Orthopedics | $550 | $1,292 | $4,125 |
| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $366 | $1,140 | $4,186 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $674 | $1,178 | $4,227 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $956 | $3,270 | $19,301 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $936 | $1,209 | $1,695 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $665 | $1,464 | $3,694 |
| Carpal tunnel release CPT 64721 • Orthopedics | $251 | $721 | $2,376 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $83 | $305 | $1,012 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $162 | $379 | $986 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $78 | $159 | $239 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $98 | $414 | $1,803 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $418 | $1,328 | $3,428 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $33 | $98 | $178 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $48 | $59 | $81 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $138 | $484 | $1,218 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $51 | $254 | $1,244 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $74 | $383 | $1,205 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $42 | $331 | $1,770 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $154 | $187 | $253 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $216 | $826 | $2,318 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $58 | $915 | $5,202 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $0 | $8,337 | $16,673 |
| Cytopathology concentration technique CPT 88108 • Pathology | $10 | $1,680 | $11,507 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $17 | $300 | $1,883 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $35 | $121 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $12 | $18 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $30 | $68 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $25 | $37 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $16 | $25 | $35 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $4 | $40 | $79 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $19 | $56 | $102 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $55 | $599 | $4,688 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $104 | $220 | $323 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $33 | $248 | $486 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $16 | $301 | $2,085 |
| Special stain group II CPT 88313 • Pathology | $5 | $1,650 | $16,081 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $13 | $252 | $1,724 |
| Frozen section pathology each additional CPT 88332 • Pathology | $5 | $34 | $56 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $26 | $837 | $7,726 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $30 | $81 | $155 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $30 | $115 | $453 |
| Microdissection manual CPT 88381 • Pathology | $52 | $108 | $204 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $3 | $4 | $4 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $10 | $14 | $23 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $10 | $16 | $24 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $10 | $14 | $18 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $9 | $33 | $223 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $22 | $34 | $46 |