| Arthrocentesis (outpatient) | $401 | 0% | $401 | 
Medium |
| Bone Density Scan (outpatient) | $609 | 0% | $609 | 
High |
| MRI - Back (outpatient) | $2,139 | 0% | $2,139 |
Medium |
| MRI - Knee (outpatient) | $1,904 | 0% | $1,904 |
Medium |
| MRI - Shoulder, Elbow, or Wrist | $1,904 | 0% | $1,904 |
Medium |
| Office Visit - Basic | $82 | 0% | $82 |
Medium |
| Office Visit - Established Patient, High Complexity | $232 | 0% | $232 |
Medium |
| Office Visit - Established Patient, Low Complexity | $135 | 0% | $135 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $200 | 0% | $200 |
Medium |
| Office Visit - New Patient, Low Complexity | $222 | 0% | $222 |
Medium |
| Office Visit - New Patient, Minor | $161 | 0% | $161 |
Medium |
| Physical Therapy - Manual Therapy | $98 | 0% | $98 |
Medium |
| X-Ray - Ankle (outpatient) | $264 | 0% | $264 |
Medium |
| X-Ray - Foot (outpatient) | $252 | 0% | $252 |
Medium |
| X-Ray - Hand | $353 | 0% | $353 |
Medium |
| X-Ray - Hip | $421 | 0% | $421 |
High |
| X-Ray - Knee (outpatient) | $457 | 0% | $457 | 
Low |
| X-Ray - Neck, Cervical Spine | $307 | 0% | $307 |
Medium |
| X-Ray - Pelvis | $307 | 0% | $307 |
Medium |
| X-Ray - Shoulder (outpatient) | $292 | 0% | $292 |
Medium |
| X-Ray - Spine (outpatient) | $423 | 0% | $423 |
Medium |
| X-Ray - Wrist (outpatient) | $360 | 0% | $360 |
Medium |
