| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $472 | $578 | $685 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $143 | $555 | $966 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $824 | $907 | $949 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $753 | $943 | $1,081 |
| Carpal tunnel release CPT 64721 • Orthopedics | $40 | $284 | $416 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $16 | $86 | $156 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $95 | $154 | $258 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $18 | $52 | $87 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $127 | $194 | $234 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $411 | $1,064 | $1,716 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $31 | $54 | $77 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $30 | $36 | $44 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $14 | $146 | $312 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $83 | $84 | $85 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $128 | $149 | $167 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $50 | $60 | $79 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $30 | $102 | $139 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $26 | $270 | $405 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $29 | $45 | $60 |
| Cytopathology concentration technique CPT 88108 • Pathology | $25 | $39 | $51 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $21 | $32 | $50 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $3 | $13 | $19 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $9 | $12 | $14 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $11 | $18 | $21 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $3 | $11 | $17 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $19 | $23 | $26 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $14 | $19 | $24 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $7 | $20 | $31 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $11 | $20 | $25 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $44 | $144 | $213 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $113 | $204 | $321 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $17 | $40 | $83 |
| Special stain group II CPT 88313 • Pathology | $9 | $36 | $61 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $18 | $33 | $48 |
| Frozen section pathology each additional CPT 88332 • Pathology | $19 | $27 | $41 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $22 | $41 | $67 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $22 | $59 | $78 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $33 | $51 | $60 |
| Microdissection manual CPT 88381 • Pathology | $19 | $72 | $147 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $5 | $5 | $6 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $10 | $12 | $15 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $9 | $12 | $18 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $12 | $14 | $19 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $8 | $11 | $12 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $17 | $22 | $31 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $28 | $30 | $33 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $17 | $23 | $28 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $22 | $25 | $29 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $10 | $14 | $17 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $59 | $69 | $78 |