| Laparoscopic partial nephrectomy CPT 50543 • Urology | $450 | $450 | $450 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $450 | $450 | $450 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $450 | $450 | $450 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $450 | $450 | $450 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $625 | $625 | $625 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $450 | $450 | $450 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $625 | $625 | $625 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $625 | $625 | $625 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $450 | $450 | $450 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $450 | $450 | $450 |
| Laser vaporization of prostate CPT 52648 • Urology | $450 | $450 | $450 |
| Circumcision CPT 54150 • Urology | $450 | $450 | $450 |
| Orchiectomy simple CPT 54520 • Urology | $450 | $450 | $450 |
| Orchiectomy radical inguinal CPT 54530 • Urology | $450 | $450 | $450 |
| Vasectomy CPT 55250 • Urology | $625 | $625 | $625 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $450 | $450 | $450 |
| Laparoscopic radical prostatectomy CPT 55866 • Urology | $450 | $450 | $450 |