| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $657 | $699 | $741 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $933 | $1,031 | $1,130 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $906 | $945 | $984 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,032 | $1,102 | $1,171 |
| Carpal tunnel release CPT 64721 • Orthopedics | $399 | $420 | $441 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $162 | $206 | $250 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $103 | $120 | $137 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $109 | $126 | $142 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $94 | $110 | $125 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $455 | $841 | $1,226 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $66 | $90 | $114 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $35 | $41 | $47 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $107 | $265 | $422 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $51 | $65 | $79 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $110 | $140 | $171 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $50 | $57 | $64 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $133 | $146 | $159 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $294 | $356 | $419 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $79 | $127 | $175 |
| Cytopathology concentration technique CPT 88108 • Pathology | $15 | $21 | $27 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $26 | $29 | $32 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $11 | $14 | $17 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $7 | $8 | $9 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $5 | $14 | $22 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $13 | $14 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $13 | $15 | $17 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $4 | $17 | $31 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $22 | $28 | $35 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $28 | $44 | $60 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $43 | $44 | $46 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $120 | $121 | $122 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $15 | $26 | $37 |
| Special stain group II CPT 88313 • Pathology | $6 | $18 | $30 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $11 | $32 | $53 |
| Frozen section pathology each additional CPT 88332 • Pathology | $4 | $5 | $6 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $11 | $24 | $36 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $24 | $33 | $42 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $30 | $49 | $68 |
| Microdissection manual CPT 88381 • Pathology | $61 | $80 | $99 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $4 | $5 | $5 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $12 | $13 | $15 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $11 | $14 | $17 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $13 | $15 | $18 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $10 | $11 | $12 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $23 | $26 | $29 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $24 | $27 | $31 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $20 | $23 | $26 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $22 | $25 | $27 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $14 | $17 | $19 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $70 | $72 | $74 |