| Arthroscopy knee with meniscectomy CPT 29881 • Orthopedics | $631 | $781 | $973 |
| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $517 | $707 | $802 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $185 | $824 | $1,149 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $153 | $793 | $1,129 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $211 | $733 | $1,255 |
| Carpal tunnel release CPT 64721 • Orthopedics | $479 | $507 | $525 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $146 | $181 | $207 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $140 | $212 | $308 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $93 | $145 | $197 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $116 | $183 | $303 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $488 | $1,633 | $2,723 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $74 | $82 | $88 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $25 | $48 | $61 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $82 | $196 | $310 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $90 | $127 | $159 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $113 | $180 | $224 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $60 | $96 | $115 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $145 | $176 | $187 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $226 | $444 | $587 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $68 | $218 | $286 |
| Cytopathology concentration technique CPT 88108 • Pathology | $20 | $33 | $46 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $19 | $42 | $65 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $16 | $18 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $6 | $8 | $10 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $15 | $22 | $25 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $13 | $14 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $14 | $16 | $19 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $23 | $25 | $27 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $11 | $25 | $39 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $42 | $55 | $68 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $52 | $117 | $181 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $91 | $250 | $408 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $17 | $29 | $40 |
| Special stain group II CPT 88313 • Pathology | $24 | $31 | $39 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $18 | $23 | $27 |
| Frozen section pathology each additional CPT 88332 • Pathology | $6 | $14 | $22 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $26 | $28 | $30 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $16 | $40 | $64 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $36 | $39 | $42 |
| Microdissection manual CPT 88381 • Pathology | $65 | $95 | $126 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $0 | $2 | $5 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $7 | $10 | $14 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $12 | $14 | $16 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $12 | $14 | $17 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $8 | $10 | $12 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $20 | $24 | $29 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $21 | $25 | $30 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $18 | $21 | $25 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $18 | $23 | $27 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $11 | $15 | $18 |