| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,563 | $1,669 | $1,725 |
| Carpal tunnel release CPT 64721 • Orthopedics | $626 | $650 | $690 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $234 | $269 | $316 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $153 | $364 | $520 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $205 | $226 | $247 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $374 | $440 | $533 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $411 | $1,490 | $3,468 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $110 | $119 | $125 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $46 | $47 | $48 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $159 | $338 | $470 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $158 | $191 | $242 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $129 | $186 | $277 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $129 | $150 | $178 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $133 | $182 | $238 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $316 | $572 | $745 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $246 | $294 | $366 |
| Cytopathology concentration technique CPT 88108 • Pathology | $11 | $22 | $33 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $32 | $71 | $111 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $11 | $26 | $41 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $7 | $10 | $12 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $12 | $25 | $38 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $10 | $17 | $24 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $16 | $32 | $48 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $3 | $6 | $8 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $13 | $32 | $63 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $18 | $56 | $109 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $96 | $115 | $133 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $122 | $129 | $137 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $13 | $31 | $48 |
| Special stain group II CPT 88313 • Pathology | $28 | $30 | $32 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $14 | $75 | $160 |
| Frozen section pathology each additional CPT 88332 • Pathology | $8 | $39 | $84 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $42 | $43 | $44 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $17 | $31 | $45 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $38 | $42 | $45 |
| Microdissection manual CPT 88381 • Pathology | $96 | $146 | $196 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $4 | $4 | $5 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $10 | $14 | $21 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $10 | $11 | $11 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $11 | $12 | $12 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $9 | $10 | $12 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $16 | $29 | $47 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $16 | $22 | $29 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $22 | $31 | $47 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $16 | $20 | $23 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $15 | $15 | $16 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $68 | $76 | $84 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $78 | $82 | $84 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $68 | $76 | $84 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $53 | $55 | $57 |