| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $42 | $371 | $700 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $42 | $506 | $970 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $1,186 | $1,300 | $1,415 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,353 | $1,487 | $1,621 |
| Carpal tunnel release CPT 64721 • Orthopedics | $505 | $562 | $618 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $42 | $127 | $297 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $288 | $364 | $440 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $92 | $92 | $92 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $183 | $233 | $282 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $42 | $255 | $467 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $42 | $72 | $102 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $53 | $58 | $62 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $252 | $293 | $334 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $42 | $72 | $103 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $198 | $219 | $240 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $74 | $83 | $99 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $146 | $161 | $175 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $213 | $391 | $479 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $199 | $259 | $319 |
| Cytopathology concentration technique CPT 88108 • Pathology | $45 | $81 | $117 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $45 | $70 | $95 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $20 | $31 | $41 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $7 | $8 | $8 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $12 | $15 | $18 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $3 | $17 | $35 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $17 | $18 | $19 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $20 | $45 | $69 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $5 | $17 | $29 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $17 | $20 | $23 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $38 | $143 | $196 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $296 | $396 | $495 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $44 | $52 | $61 |
| Special stain group II CPT 88313 • Pathology | $37 | $40 | $43 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $29 | $34 | $39 |
| Frozen section pathology each additional CPT 88332 • Pathology | $31 | $40 | $49 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $49 | $52 | $56 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $67 | $68 | $69 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $33 | $38 | $43 |
| Microdissection manual CPT 88381 • Pathology | $74 | $83 | $92 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $3 | $4 | $5 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $9 | $11 | $12 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $11 | $14 | $17 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $11 | $12 | $14 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $7 | $10 | $14 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $19 | $32 | $45 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $20 | $22 | $25 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $16 | $19 | $22 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $17 | $30 | $42 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $10 | $12 | $14 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $49 | $97 | $144 |