| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $405 | $3,146 | $6,745 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $37 | $128 | $218 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $46 | $79 | $143 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $229 | $475 | $721 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $110 | $127 | $144 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $163 | $340 | $518 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $89 | $115 | $142 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $150 | $278 | $438 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $412 | $840 | $1,293 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $163 | $249 | $345 |
| Cytopathology concentration technique CPT 88108 • Pathology | $49 | $88 | $166 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $41 | $71 | $101 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $14 | $36 | $57 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $12 | $22 | $40 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $17 | $33 | $60 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $48 | $48 | $48 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $25 | $52 | $79 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $15 | $40 | $65 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $26 | $28 | $31 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $171 | $171 | $171 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $178 | $368 | $513 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $270 | $658 | $1,046 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $86 | $150 | $214 |
| Special stain group II CPT 88313 • Pathology | $61 | $108 | $202 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $59 | $80 | $101 |
| Frozen section pathology each additional CPT 88332 • Pathology | $34 | $48 | $61 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $63 | $66 | $68 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $77 | $111 | $178 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $92 | $158 | $291 |
| Microdissection manual CPT 88381 • Pathology | $52 | $106 | $159 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $5 | $9 | $15 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $10 | $17 | $29 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $10 | $16 | $27 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $12 | $20 | $34 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $12 | $19 | $33 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $28 | $49 | $69 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $28 | $54 | $80 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $25 | $41 | $69 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $22 | $43 | $64 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $14 | $28 | $42 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $83 | $160 | $237 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $83 | $135 | $237 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $112 | $174 | $237 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $57 | $97 | $165 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $30 | $59 | $87 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $27 | $52 | $78 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $26 | $44 | $75 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $27 | $54 | $81 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $47 | $81 | $114 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $34 | $56 | $99 |