| Carpal tunnel release CPT 64721 • Orthopedics | $30 | $4,825 | $28,516 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $12 | $3,033 | $15,000 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $57 | $416 | $797 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $57 | $256 | $350 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $57 | $350 | $782 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $203 | $5,320 | $28,516 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $37 | $3,194 | $15,000 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $28 | $131 | $350 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $160 | $6,642 | $32,000 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $30 | $3,010 | $19,682 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $350 | $5,425 | $30,000 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $50 | $315 | $740 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $57 | $242 | $456 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $318 | $5,702 | $40,000 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $11 | $230 | $569 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $57 | $239 | $352 |
| Cytopathology concentration technique CPT 88108 • Pathology | $22 | $36 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $60 | $60 | $60 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $30 | $30 | $30 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $13 | $14 | $14 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $21 | $38 | $58 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $9 | $14 | $20 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $30 | $30 | $30 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $21 | $21 | $21 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $41 | $41 | $41 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $30 | $30 | $30 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $226 | $249 | $272 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $145 | $145 | $145 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $89 | $89 | $89 |
| Special stain group II CPT 88313 • Pathology | $12 | $32 | $52 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $34 | $37 | $40 |
| Frozen section pathology each additional CPT 88332 • Pathology | $42 | $42 | $42 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $43 | $57 | $71 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $50 | $67 | $84 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $32 | $43 | $54 |
| Microdissection manual CPT 88381 • Pathology | $98 | $98 | $98 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $10 | $12 | $13 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $19 | $29 | $35 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $31 | $37 | $42 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $12 | $24 | $43 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $12 | $19 | $29 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $37 | $54 | $71 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $47 | $61 | $74 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $37 | $52 | $63 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $34 | $50 | $67 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $39 | $39 | $39 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $117 | $149 | $180 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $84 | $126 | $180 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $117 | $149 | $180 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $40 | $81 | $122 |