| Peripheral nerve block injection CPT 64450 • Pain Management | $156 | $162 | $169 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $173 | $181 | $188 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $404 | $669 | $935 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $379 | $394 | $409 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $324 | $503 | $683 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $261 | $311 | $348 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $477 | $551 | $625 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $801 | $1,358 | $1,636 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $628 | $662 | $679 |
| Cytopathology concentration technique CPT 88108 • Pathology | $60 | $100 | $140 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $109 | $130 | $151 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $58 | $64 | $70 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $29 | $32 | $35 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $61 | $63 | $65 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $8 | $33 | $49 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $75 | $83 | $90 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $71 | $78 | $85 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $31 | $62 | $94 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $77 | $132 | $188 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $534 | $560 | $572 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $388 | $627 | $866 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $218 | $218 | $218 |
| Special stain group II CPT 88313 • Pathology | $32 | $123 | $177 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $73 | $120 | $166 |
| Frozen section pathology each additional CPT 88332 • Pathology | $111 | $129 | $146 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $191 | $221 | $252 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $193 | $205 | $217 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $111 | $184 | $258 |
| Microdissection manual CPT 88381 • Pathology | $377 | $436 | $496 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $21 | $22 | $22 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $47 | $48 | $48 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $40 | $41 | $41 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $48 | $48 | $49 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $47 | $47 | $48 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $99 | $100 | $102 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $114 | $115 | $117 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $98 | $99 | $100 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $91 | $92 | $93 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $59 | $60 | $60 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $278 | $281 | $284 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $278 | $281 | $284 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $278 | $281 | $284 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $192 | $195 | $196 |
| Therapeutic activities each 15 minutes CPT 97530 • Physical Therapy | $129 | $131 | $132 |
| Self-care/home management training each 15 min CPT 97535 • Physical Therapy | $111 | $113 | $114 |
| Wheelchair management training each 15 minutes CPT 97542 • Physical Therapy | $107 | $109 | $110 |
| Physical performance test each 15 minutes CPT 97750 • Physical Therapy | $114 | $115 | $116 |
| Orthotic management and training each 15 min CPT 97760 • Physical Therapy | $162 | $164 | $166 |
| Prosthetic training each 15 minutes CPT 97761 • Physical Therapy | $137 | $139 | $140 |
| Immunization admin first vaccine component CPT 90460 • Preventive Care | $15 | $33 | $70 |