| Arthroscopy knee with meniscus repair CPT 29882 • Orthopedics | $1,094 | $1,193 | $1,391 |
| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,594 | $1,847 | $2,197 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $1,472 | $1,693 | $2,137 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,698 | $2,064 | $2,429 |
| Carpal tunnel release CPT 64721 • Orthopedics | $659 | $749 | $927 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $111 | $255 | $335 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $236 | $251 | $258 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $69 | $166 | $264 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $97 | $358 | $566 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $1,846 | $1,846 | $1,846 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $74 | $101 | $128 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $49 | $78 | $104 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $495 | $526 | $556 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $109 | $202 | $267 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $284 | $324 | $364 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $147 | $149 | $153 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $150 | $246 | $335 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $703 | $756 | $861 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $88 | $242 | $378 |
| Cytopathology concentration technique CPT 88108 • Pathology | $23 | $23 | $23 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $36 | $36 | $36 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $13 | $27 | $40 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $9 | $9 | $9 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $27 | $53 | $66 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $12 | $13 | $13 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $20 | $20 | $20 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $19 | $19 | $19 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $33 | $33 | $33 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $21 | $27 | $34 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $47 | $141 | $235 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $259 | $259 | $259 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $27 | $27 | $27 |
| Special stain group II CPT 88313 • Pathology | $11 | $32 | $43 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $39 | $39 | $39 |
| Frozen section pathology each additional CPT 88332 • Pathology | $24 | $24 | $24 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $40 | $40 | $40 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $64 | $64 | $64 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $76 | $86 | $95 |
| Microdissection manual CPT 88381 • Pathology | $94 | $128 | $161 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $4 | $4 | $5 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $5 | $7 | $9 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $5 | $8 | $11 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $6 | $10 | $14 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $9 | $9 | $10 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $31 | $39 | $46 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $26 | $30 | $34 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $20 | $25 | $29 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $27 | $35 | $44 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $11 | $12 | $13 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $84 | $92 | $100 |