| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $434 | $660 | $973 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $517 | $1,160 | $1,802 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $220 | $1,127 | $2,542 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $141 | $407 | $1,195 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $211 | $1,536 | $2,861 |
| Carpal tunnel release CPT 64721 • Orthopedics | $525 | $598 | $734 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $124 | $163 | $216 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $171 | $322 | $679 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $93 | $226 | $360 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $116 | $238 | $361 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $415 | $1,211 | $2,008 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $74 | $134 | $195 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $33 | $61 | $88 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $141 | $193 | $232 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $51 | $137 | $290 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $135 | $261 | $457 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $50 | $98 | $147 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $145 | $267 | $396 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $226 | $597 | $1,144 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $87 | $314 | $624 |
| Cytopathology concentration technique CPT 88108 • Pathology | $20 | $41 | $63 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $13 | $33 | $64 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $11 | $12 | $13 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $7 | $7 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $21 | $27 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $9 | $10 | $12 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $13 | $13 | $14 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $3 | $17 | $30 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $5 | $14 | $40 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $16 | $34 | $68 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $37 | $96 | $249 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $66 | $203 | $408 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $12 | $26 | $40 |
| Special stain group II CPT 88313 • Pathology | $5 | $25 | $66 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $27 | $28 | $29 |
| Frozen section pathology each additional CPT 88332 • Pathology | $22 | $26 | $29 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $13 | $33 | $82 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $16 | $27 | $62 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $19 | $32 | $40 |
| Microdissection manual CPT 88381 • Pathology | $26 | $45 | $65 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $0 | $3 | $5 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $6 | $11 | $15 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $9 | $11 | $15 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $10 | $12 | $17 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $8 | $16 | $35 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $17 | $32 | $72 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $18 | $36 | $82 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $15 | $32 | $72 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $16 | $20 | $26 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $11 | $13 | $15 |