| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $3,261 | $3,261 | $3,261 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $141 | $1,586 | $3,031 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $3,671 | $3,671 | $3,671 |
| Carpal tunnel release CPT 64721 • Orthopedics | $1,491 | $1,491 | $1,491 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $157 | $350 | $542 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $871 | $871 | $871 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $462 | $462 | $462 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $858 | $858 | $858 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $7,598 | $7,598 | $7,598 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $140 | $140 | $140 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $167 | $167 | $167 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $232 | $525 | $817 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $103 | $237 | $372 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $225 | $406 | $586 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $77 | $189 | $302 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $508 | $508 | $508 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $641 | $641 | $641 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $800 | $800 | $800 |
| Cytopathology concentration technique CPT 88108 • Pathology | $58 | $58 | $58 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $13 | $93 | $173 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $60 | $60 | $60 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $47 | $47 | $47 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $72 | $72 | $72 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $58 | $58 | $58 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $85 | $85 | $85 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $84 | $84 | $84 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $5 | $17 | $29 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $16 | $52 | $88 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $37 | $285 | $532 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $376 | $376 | $376 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $289 | $289 | $289 |
| Special stain group II CPT 88313 • Pathology | $5 | $18 | $31 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $161 | $161 | $161 |
| Frozen section pathology each additional CPT 88332 • Pathology | $63 | $63 | $63 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $13 | $118 | $223 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $16 | $137 | $258 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $109 | $109 | $109 |
| Microdissection manual CPT 88381 • Pathology | $62 | $62 | $62 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $14 | $14 | $14 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $12 | $20 | $27 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $9 | $17 | $26 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $10 | $21 | $32 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $11 | $21 | $32 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $20 | $43 | $65 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $23 | $49 | $75 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $20 | $43 | $65 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $19 | $40 | $60 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $39 | $39 | $39 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $76 | $149 | $223 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $76 | $149 | $223 |