| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $1,355 | $1,412 | $1,470 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $2,085 | $2,085 | $2,085 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $1,106 | $1,542 | $2,023 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,327 | $1,812 | $2,297 |
| Carpal tunnel release CPT 64721 • Orthopedics | $479 | $705 | $920 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $148 | $165 | $181 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $544 | $544 | $544 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $318 | $318 | $318 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $484 | $511 | $537 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $522 | $711 | $900 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $72 | $104 | $146 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $90 | $97 | $104 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $173 | $376 | $498 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $49 | $115 | $220 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $222 | $304 | $366 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $113 | $132 | $168 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $221 | $249 | $271 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $392 | $679 | $876 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $161 | $227 | $359 |
| Cytopathology concentration technique CPT 88108 • Pathology | $35 | $39 | $43 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $28 | $37 | $46 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $15 | $20 | $24 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $11 | $13 | $15 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $19 | $23 | $27 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $16 | $19 | $21 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $33 | $33 | $33 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $7 | $14 | $21 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $11 | $20 | $28 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $22 | $44 | $67 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $197 | $217 | $258 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $246 | $274 | $302 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $76 | $87 | $98 |
| Special stain group II CPT 88313 • Pathology | $55 | $56 | $58 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $44 | $69 | $94 |
| Frozen section pathology each additional CPT 88332 • Pathology | $31 | $35 | $38 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $58 | $61 | $64 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $72 | $85 | $98 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $85 | $101 | $117 |
| Microdissection manual CPT 88381 • Pathology | $138 | $152 | $166 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $3 | $4 | $6 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $12 | $13 | $14 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $7 | $9 | $12 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $14 | $23 | $33 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $14 | $15 | $16 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $30 | $34 | $38 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $34 | $45 | $57 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $17 | $23 | $29 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $27 | $39 | $51 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $18 | $24 | $30 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $82 | $86 | $90 |