| CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine | $231 | $231 | $231 |
| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $232 | $232 | $232 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $87 | $87 | $87 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $46 | $1,201 | $2,356 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $42 | $1,076 | $2,111 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $794 | $1,920 | $3,045 |
| Complex uroflowmetry CPT 51741 • Urology | $8 | $33 | $58 |
| Post-void residual urine measurement CPT 51798 • Urology | $16 | $22 | $29 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $7 | $32 | $58 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $8 | $197 | $387 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $9 | $232 | $454 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $7 | $169 | $332 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $582 | $824 | $1,067 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $535 | $1,634 | $2,734 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $23 | $588 | $1,154 |
| Laser vaporization of prostate CPT 52648 • Urology | $961 | $961 | $961 |
| Circumcision CPT 54150 • Urology | $4 | $31 | $58 |
| Orchiectomy simple CPT 54520 • Urology | $9 | $9 | $9 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $710 | $781 | $851 |
| Vasectomy CPT 55250 • Urology | $9 | $395 | $780 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $8 | $8 | $8 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $37 | $37 | $37 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $37 | $1,486 | $2,935 |