| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $84 | $151 | $215 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $73 | $153 | $232 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $31 | $207 | $299 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $45 | $45 | $45 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $30 | $267 | $504 |
| Complex uroflowmetry CPT 51741 • Urology | $6 | $18 | $30 |
| Post-void residual urine measurement CPT 51798 • Urology | $13 | $16 | $19 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $73 | $133 | $193 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $45 | $207 | $369 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $45 | $45 | $45 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $30 | $67 | $126 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $45 | $45 | $45 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $45 | $342 | $639 |
| Laser vaporization of prostate CPT 52648 • Urology | $30 | $30 | $30 |
| Circumcision CPT 54150 • Urology | $30 | $83 | $136 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $45 | $45 | $45 |
| Vasectomy CPT 55250 • Urology | $165 | $227 | $289 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $30 | $30 | $30 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $30 | $374 | $1,047 |