| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $44 | $44 | $44 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $420 | $420 | $420 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $619 | $619 | $619 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $124 | $124 | $124 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $968 | $968 | $968 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $396 | $396 | $396 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $48 | $48 | $48 |
| Complex uroflowmetry CPT 51741 • Urology | $48 | $48 | $48 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $97 | $97 | $97 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $48 | $48 | $48 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $48 | $48 | $48 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $254 | $254 | $254 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $48 | $48 | $48 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $48 | $48 | $48 |
| Circumcision CPT 54150 • Urology | $177 | $177 | $177 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $48 | $48 | $48 |
| Vasectomy CPT 55250 • Urology | $407 | $407 | $407 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $48 | $717 | $1,387 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $48 | $48 | $48 |