| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $47 | $47 | $47 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $42 | $42 | $42 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $77 | $77 | $77 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $381 | $381 | $381 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $75 | $75 | $75 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $585 | $585 | $585 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $339 | $339 | $339 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $711 | $711 | $711 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $642 | $642 | $642 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $430 | $430 | $430 |
| Complex uroflowmetry CPT 51741 • Urology | $39 | $39 | $39 |
| Post-void residual urine measurement CPT 51798 • Urology | $9 | $9 | $9 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $97 | $97 | $97 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $118 | $118 | $118 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $139 | $139 | $139 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $100 | $100 | $100 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $224 | $224 | $224 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $203 | $203 | $203 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $397 | $397 | $397 |
| Laser vaporization of prostate CPT 52648 • Urology | $984 | $984 | $984 |
| Circumcision CPT 54150 • Urology | $77 | $77 | $77 |
| Orchiectomy simple CPT 54520 • Urology | $154 | $154 | $154 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $240 | $240 | $240 |
| Vasectomy CPT 55250 • Urology | $195 | $195 | $195 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $107 | $107 | $107 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $639 | $639 | $639 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $832 | $832 | $832 |