| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $100 | $298 | $495 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $104 | $104 | $104 |
| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $50 | $51 | $52 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $50 | $50 | $50 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $888 | $902 | $915 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $917 | $1,200 | $1,483 |
| Post-void residual urine measurement CPT 51798 • Urology | $10 | $10 | $10 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $359 | $359 | $359 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $238 | $238 | $238 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $279 | $279 | $279 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $204 | $204 | $204 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $259 | $456 | $653 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $380 | $380 | $380 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $711 | $711 | $711 |
| Laser vaporization of prostate CPT 52648 • Urology | $1,118 | $3,037 | $4,955 |
| Circumcision CPT 54150 • Urology | $146 | $242 | $338 |
| Vasectomy CPT 55250 • Urology | $368 | $625 | $882 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $1,405 | $2,151 | $2,898 |