| Physical Therapy - Application of Mechanical Traction | $42 | 
Above Average
State Average: 3 | $42 |
| Physical Therapy - Electrical Stimulation Therapy | $29 | 
Below Average
State Average: 3 | $29 |
| Physical Therapy - Low Complexity Evaluation | $105 | 
Near Average
State Average: 1 | $105 |
| Physical Therapy - Manual Electrical Stimulation Therapy, 15 minutes | $39 |
Below Average
State Average: 3 | $39 |
| Physical Therapy - Manual Therapy | $44 |
Near Average
State Average: 4 | $44 |
| Physical Therapy - Moderate Complexity Evaluation | $105 |
Near Average
State Average: 1 | $105 |
| Physical Therapy - Neuromuscular Reeducation | $42 |
Below Average
State Average: 4 | $42 |
| Physical Therapy - Re-Evaluation | $65 |
Near Average
State Average: 1 | $65 |
| Physical Therapy - Self-care or Home Management Training | $50 |
Near Average
State Average: 1 | $50 |
| Physical Therapy - Therapeutic Activities | $50 |
Below Average
State Average: 3 | $50 |
| Physical Therapy - Therapeutic Exercises | $42 |
Near Average
State Average: 4 | $42 |
| Physical Therapy - Ultrasound Therapy | $35 |
Near Average
State Average: 3 | $35 |
