| Laminectomy lumbar single level CPT 63047 • Orthopedics | $305 | $8,419 | $25,000 |
| Carpal tunnel release CPT 64721 • Orthopedics | $30 | $7,636 | $28,516 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $30 | $3,858 | $15,000 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $57 | $301 | $456 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $57 | $244 | $432 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $57 | $359 | $602 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $30 | $8,339 | $28,516 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $4 | $3,129 | $15,000 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $36 | $68 | $131 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $432 | $8,499 | $32,000 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $30 | $4,998 | $19,682 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $292 | $7,874 | $30,000 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $89 | $277 | $740 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $57 | $139 | $247 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $701 | $8,883 | $40,000 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $57 | $216 | $390 |
| Unlisted nervous system procedure CPT 64999 • Pain Management | $57 | $94 | $131 |
| Cytopathology concentration technique CPT 88108 • Pathology | $21 | $37 | $49 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $49 | $56 | $64 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $22 | $22 | $22 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $13 | $15 | $17 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $21 | $24 | $27 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $21 | $21 | $21 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $31 | $43 | $54 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $7 | $9 | $12 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $20 | $25 | $29 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $33 | $60 | $87 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $183 | $199 | $219 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $260 | $268 | $277 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $48 | $64 | $81 |
| Special stain group II CPT 88313 • Pathology | $21 | $53 | $77 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $79 | $96 | $110 |
| Frozen section pathology each additional CPT 88332 • Pathology | $53 | $54 | $55 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $37 | $53 | $68 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $33 | $69 | $97 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $73 | $87 | $95 |
| Microdissection manual CPT 88381 • Pathology | $45 | $118 | $190 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $5 | $12 | $19 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $10 | $24 | $38 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $10 | $23 | $36 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $12 | $30 | $44 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $12 | $26 | $44 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $55 | $73 | $90 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $104 | $104 | $104 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $25 | $58 | $90 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $30 | $57 | $83 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $55 | $55 | $55 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $308 | $308 | $308 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $82 | $185 | $308 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $308 | $308 | $308 |