| Sleep study unattended CPT 95800 • Sleep Medicine | $184 | $184 | $184 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $74 | $74 | $75 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $480 | $480 | $480 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $700 | $700 | $700 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $147 | $150 | $154 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $948 | $948 | $948 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $411 | $455 | $499 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $1,680 | $1,680 | $1,680 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $30 | $30 | $30 |
| Complex uroflowmetry CPT 51741 • Urology | $13 | $22 | $30 |
| Post-void residual urine measurement CPT 51798 • Urology | $13 | $13 | $13 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $307 | $307 | $307 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $360 | $360 | $360 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $30 | $30 | $30 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $490 | $490 | $490 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $917 | $917 | $917 |
| Laser vaporization of prostate CPT 52648 • Urology | $30 | $30 | $30 |
| Circumcision CPT 54150 • Urology | $30 | $30 | $30 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $530 | $530 | $530 |
| Vasectomy CPT 55250 • Urology | $21 | $21 | $21 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $30 | $30 | $30 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $30 | $764 | $1,498 |