| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $142 | $571 | $840 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $594 | $3,887 | $7,550 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $90 | $134 | $191 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $47 | $85 | $121 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $238 | $454 | $636 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $46 | $175 | $286 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $188 | $331 | $444 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $72 | $165 | $227 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $215 | $317 | $386 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $206 | $723 | $1,146 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $125 | $318 | $643 |
| Cytopathology concentration technique CPT 88108 • Pathology | $10 | $45 | $81 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $22 | $56 | $84 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $22 | $31 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $14 | $21 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $16 | $24 | $35 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $13 | $20 | $28 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $15 | $30 | $46 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $8 | $37 | $77 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $7 | $45 | $94 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $18 | $66 | $105 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $79 | $279 | $633 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $153 | $447 | $903 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $16 | $106 | $268 |
| Special stain group II CPT 88313 • Pathology | $7 | $78 | $214 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $38 | $88 | $131 |
| Frozen section pathology each additional CPT 88332 • Pathology | $13 | $45 | $75 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $17 | $83 | $187 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $22 | $89 | $206 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $26 | $94 | $246 |
| Microdissection manual CPT 88381 • Pathology | $15 | $200 | $578 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $0 | $9 | $14 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $9 | $22 | $30 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $12 | $21 | $28 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $14 | $25 | $35 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $10 | $23 | $34 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $24 | $49 | $71 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $26 | $56 | $82 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $21 | $48 | $71 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $23 | $46 | $65 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $12 | $27 | $42 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $84 | $153 | $241 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $84 | $153 | $241 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $84 | $153 | $241 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $58 | $115 | $165 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $24 | $60 | $89 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $27 | $54 | $79 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $22 | $48 | $76 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $23 | $39 | $78 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $29 | $57 | $115 |