| Arthroscopy knee ACL repair CPT 29888 • Orthopedics | $1,175 | $1,175 | $1,175 |
| Discectomy lumbar single level CPT 63030 • Orthopedics | $1,167 | $1,167 | $1,167 |
| Laminectomy lumbar single level CPT 63047 • Orthopedics | $1,324 | $1,324 | $1,324 |
| Carpal tunnel release CPT 64721 • Orthopedics | $513 | $513 | $513 |
| Sacroiliac joint injection CPT 27096 • Pain Management | $110 | $151 | $191 |
| Epidural injection cervical or thoracic with imaging CPT 62321 • Pain Management | $242 | $274 | $306 |
| Epidural injection lumbar or sacral without imaging CPT 62322 • Pain Management | $177 | $177 | $177 |
| Epidural injection lumbar or sacral with imaging CPT 62323 • Pain Management | $85 | $102 | $119 |
| Spinal cord stimulator electrode implantation CPT 63650 • Pain Management | $1,841 | $2,045 | $2,249 |
| Peripheral nerve block injection CPT 64450 • Pain Management | $90 | $90 | $90 |
| Plantar common digital nerve injection CPT 64455 • Pain Management | $44 | $51 | $57 |
| Epidural injection lumbar or sacral transforaminal CPT 64483 • Pain Management | $279 | $314 | $348 |
| Epidural injection lumbar each additional level CPT 64484 • Pain Management | $62 | $109 | $155 |
| Facet joint injection lumbar first level CPT 64493 • Pain Management | $107 | $179 | $251 |
| Facet joint injection lumbar second level CPT 64494 • Pain Management | $105 | $116 | $127 |
| Chemodenervation of muscle migraine CPT 64615 • Pain Management | $147 | $147 | $147 |
| Facet joint nerve destruction lumbar first level CPT 64635 • Pain Management | $490 | $490 | $490 |
| Facet joint nerve destruction lumbar each additional CPT 64636 • Pain Management | $202 | $202 | $202 |
| Cytopathology concentration technique CPT 88108 • Pathology | $38 | $38 | $38 |
| Cytopathology cell enhancement technique CPT 88112 • Pathology | $17 | $24 | $31 |
| Cytopathology cervical/vaginal interpretation physician CPT 88141 • Pathology | $11 | $14 | $16 |
| Cytopathology cervical/vaginal manual screen CPT 88164 • Pathology | $9 | $9 | $9 |
| Cytopathology cervical/vaginal automated thin layer CPT 88175 • Pathology | $12 | $17 | $23 |
| Molecular cytogenetics DNA probe each CPT 88271 • Pathology | $13 | $13 | $13 |
| Cytogenetics molecular interpretation CPT 88291 • Pathology | $21 | $21 | $21 |
| 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 | $18 | $19 | $19 |
| Surgical pathology gross and micro exam level IV CPT 88305 • Pathology | $33 | $38 | $43 |
| Surgical pathology gross and micro exam level V CPT 88307 • Pathology | $117 | $117 | $117 |
| Surgical pathology gross and micro exam level VI CPT 88309 • Pathology | $92 | $92 | $92 |
| Special stain group I for microorganisms CPT 88312 • Pathology | $39 | $43 | $48 |
| Special stain group II CPT 88313 • Pathology | $32 | $36 | $39 |
| Frozen section pathology first specimen CPT 88331 • Pathology | $60 | $60 | $60 |
| Frozen section pathology each additional CPT 88332 • Pathology | $19 | $19 | $19 |
| Immunohistochemistry each antibody CPT 88341 • Pathology | $44 | $50 | $57 |
| Immunohistochemistry first antibody CPT 88342 • Pathology | $51 | $58 | $64 |
| Morphometric analysis tumor quantitative CPT 88360 • Pathology | $50 | $50 | $50 |
| Microdissection manual CPT 88381 • Pathology | $110 | $110 | $110 |
| Hot or cold packs application CPT 97010 • Physical Therapy | $6 | $6 | $6 |
| Electrical stimulation unattended CPT 97014 • Physical Therapy | $11 | $12 | $13 |
| Vasopneumatic device therapy CPT 97016 • Physical Therapy | $8 | $10 | $11 |
| Electrical stimulation attended each 15 minutes CPT 97032 • Physical Therapy | $13 | $13 | $13 |
| Ultrasound therapy each 15 minutes CPT 97035 • Physical Therapy | $11 | $12 | $13 |
| Therapeutic exercises each 15 minutes CPT 97110 • Physical Therapy | $20 | $25 | $27 |
| Neuromuscular reeducation each 15 minutes CPT 97112 • Physical Therapy | $25 | $29 | $31 |
| Gait training each 15 minutes CPT 97116 • Physical Therapy | $20 | $24 | $27 |
| Manual therapy one or more regions each 15 min CPT 97140 • Physical Therapy | $21 | $23 | $25 |
| Group therapeutic procedures CPT 97150 • Physical Therapy | $14 | $15 | $16 |
| Physical therapy evaluation low complexity CPT 97161 • Physical Therapy | $75 | $81 | $92 |
| Physical therapy evaluation moderate complexity CPT 97162 • Physical Therapy | $75 | $81 | $92 |