| Physical Therapy - Application of Blood Vessel Compression or Decompression Device | $42 | 
Near Average
State Average: 3 | $42 |
| Physical Therapy - Application of Hot or Cold Pack | $13 | 
Above Average
State Average: 3 | $13 |
| Physical Therapy - Application of Mechanical Traction | $42 |
Above Average
State Average: 3 | $42 |
| Physical Therapy - Electrical Stimulation Therapy | $26 |
Above Average
State Average: 3 | $26 |
| Physical Therapy - High Complexity Evaluation | $195 |
Near Average
State Average: 1 | $195 |
| Physical Therapy - Low Complexity Evaluation | $130 |
Near Average
State Average: 1 | $130 |
| Physical Therapy - Manual Electrical Stimulation Therapy, 15 minutes | $42 | 
Below Average
State Average: 3 | $42 |
| Physical Therapy - Manual Therapy | $68 |
Above Average
State Average: 4 | $68 |
| Physical Therapy - Moderate Complexity Evaluation | $163 |
Near Average
State Average: 1 | $163 |
| Physical Therapy - Neuromuscular Reeducation | $68 |
Above Average
State Average: 4 | $68 |
| Physical Therapy - Re-Evaluation | $110 |
Above Average
State Average: 1 | $110 |
| Physical Therapy - Self-care or Home Management Training | $58 |
Near Average
State Average: 1 | $58 |
| Physical Therapy - Therapeutic Activities | $74 |
Below Average
State Average: 3 | $74 |
| Physical Therapy - Therapeutic Exercises | $68 |
Above Average
State Average: 4 | $68 |
| Physical Therapy - Ultrasound Therapy | $42 |
Below Average
State Average: 3 | $42 |
