| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $962 | $962 | $962 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $47 | $47 | $47 |
| Spirometry CPT 94010 • Pulmonology | $10 | $10 | $10 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $5 | $5 | $5 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $33 | $33 | $33 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $13 | $13 | $13 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $80 | $80 | $80 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $4 | $4 | $4 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $9 | $9 | $9 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $29 | $29 | $29 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $23 | $23 | $23 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $29 | $29 | $29 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $13 | $13 | $13 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $55 | $55 | $55 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $56 | $56 | $56 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $130 | $130 | $130 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $19 | $19 | $19 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $190 | $190 | $190 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $116 | $116 | $116 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $17 | $17 | $17 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $1,436 | $1,436 | $1,436 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $34 | $34 | $34 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $69 | $69 | $69 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $815 | $815 | $815 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $516 | $516 | $516 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $97 | $97 | $97 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $172 | $172 | $172 |
| Radiation treatment management 5 treatments CPT 77427 • Radiation Therapy | $148 | $148 | $148 |
| Radiation therapy management complete course CPT 77431 • Radiation Therapy | $84 | $84 | $84 |
| Proton beam treatment simple CPT 77520 • Radiation Therapy | $233 | $233 | $233 |
| Proton beam treatment complex CPT 77523 • Radiation Therapy | $406 | $406 | $406 |
| Polysomnography under age 6 CPT 95782 • Sleep Medicine | $445 | $445 | $445 |
| Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine | $470 | $470 | $470 |
| Sleep study unattended CPT 95800 • Sleep Medicine | $71 | $71 | $71 |
| Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine | $21 | $21 | $21 |
| Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine | $195 | $195 | $195 |
| Polysomnography age 6 or older CPT 95810 • Sleep Medicine | $324 | $324 | $324 |
| Polysomnography with CPAP titration CPT 95811 • Sleep Medicine | $276 | $276 | $276 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $107 | $107 | $107 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $1,027 | $1,027 | $1,027 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $445 | $445 | $445 |
| Complex uroflowmetry CPT 51741 • Urology | $5 | $5 | $5 |
| Post-void residual urine measurement CPT 51798 • Urology | $4 | $4 | $4 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $26 | $26 | $26 |
| Cystourethroscopy with tumor fulguration small CPT 52234 • Urology | $79 | $79 | $79 |
| Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology | $221 | $221 | $221 |
| Cystourethroscopy with dilation of ureteral stricture CPT 52260 • Urology | $108 | $108 | $108 |
| Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology | $80 | $80 | $80 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $126 | $126 | $126 |
| TURP transurethral resection of prostate CPT 52601 • Urology | $237 | $237 | $237 |