| Peripheral nerve block injection CPT 64450 • Pain Management | $212 | $223 | $235 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $141 | $145 | $149 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $696 | $711 | $726 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $143 | $231 | $319 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $501 | $516 | $532 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $161 | $208 | $256 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $420 | $443 | $466 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $1,247 | $1,260 | $1,274 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $162 | $174 | $185 |
| Cytopathology concentration technique CPT 88108 • Pathology | $40 | $117 | $195 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $29 | $111 | $193 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $26 | $47 | $68 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $15 | $19 | $23 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $27 | $30 | $33 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $21 | $24 | $27 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $35 | $65 | $95 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $24 | $59 | $94 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $12 | $67 | $122 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $39 | $71 | $103 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $282 | $549 | $817 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $428 | $828 | $1,228 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $28 | $174 | $320 |
| Special stain group II CPT 88313 • Pathology | $77 | $156 | $235 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $65 | $91 | $117 |
| Frozen section pathology each additional CPT 88332 • Pathology | $23 | $89 | $154 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $94 | $176 | $258 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $37 | $169 | $301 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $44 | $79 | $114 |
| Microdissection manual CPT 88381 • Pathology | $183 | $376 | $570 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $17 | $17 | $18 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $35 | $36 | $38 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $32 | $33 | $33 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $39 | $40 | $41 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $38 | $39 | $40 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $80 | $82 | $83 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $92 | $94 | $96 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $79 | $81 | $83 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $73 | $75 | $77 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $48 | $49 | $51 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $223 | $254 | $285 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $223 | $254 | $285 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $223 | $254 | $285 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $153 | $175 | $198 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $103 | $103 | $104 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $89 | $91 | $93 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $86 | $88 | $90 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $91 | $94 | $97 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $128 | $132 | $136 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $109 | $114 | $119 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $43 | $54 | $65 |