| Laminectomy lumbar single level CPT 63047 • Orthopedics | $30 | $88 | $204 |
| Carpal tunnel release CPT 64721 • Orthopedics | $30 | $230 | $576 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $16 | $172 | $329 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $10 | $79 | $121 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $14 | $75 | $137 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $10 | $183 | $357 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $30 | $236 | $596 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $11 | $11 | $11 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $37 | $50 | $66 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $30 | $119 | $291 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $10 | $35 | $59 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $170 | $231 | $351 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $67 | $92 | $121 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $112 | $158 | $203 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $44 | $147 | $250 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $44 | $65 | $86 |
| Cytopathology concentration technique CPT 88108 • Pathology | $25 | $25 | $25 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $10 | $25 | $51 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $3 | $3 | $3 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $13 | $13 | $13 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $11 | $34 | $58 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $17 | $17 | $17 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $25 | $25 | $26 |
| Surgical pathology gross and micro exam level II CPT 88302 • Pathology | $19 | $19 | $19 |
| Surgical pathology gross and micro exam level III CPT 88304 • Pathology | $5 | $20 | $31 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $11 | $18 | $25 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $37 | $73 | $109 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $333 | $333 | $333 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $86 | $86 | $86 |
| Special stain group II CPT 88313 • Pathology | $5 | $40 | $61 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $48 | $48 | $48 |
| Frozen section pathology each additional CPT 88332 • Pathology | $41 | $41 | $42 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $13 | $34 | $69 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $16 | $44 | $77 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $92 | $92 | $93 |
| Microdissection manual CPT 88381 • Pathology | $19 | $127 | $236 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $5 | $5 | $5 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $10 | $11 | $12 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $9 | $9 | $10 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $12 | $14 | $18 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $12 | $19 | $26 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $20 | $25 | $37 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $23 | $33 | $48 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $24 | $29 | $37 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $18 | $23 | $34 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $12 | $13 | $15 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $66 | $75 | $84 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $66 | $83 | $117 |
| Physical therapy evaluation high complexity CPT 97163 • Physical Therapy | $42 | $81 | $117 |
| Physical therapy re-evaluation CPT 97164 • Physical Therapy | $58 | $69 | $80 |