| Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine | $121 | $121 | $121 |
| CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine | $498 | $498 | $498 |
| Laparoscopic partial nephrectomy CPT 50543 • Urology | $1,452 | $1,452 | $1,452 |
| Laparoscopic radical nephrectomy CPT 50545 • Urology | $2,594 | $2,594 | $2,594 |
| Lithotripsy extracorporeal shock wave (ESWL) CPT 50590 • Urology | $1,446 | $1,446 | $1,446 |
| Complex uroflowmetry CPT 51741 • Urology | $12 | $21 | $30 |
| Post-void residual urine measurement CPT 51798 • Urology | $9 | $14 | $20 |
| Cystourethroscopy diagnostic CPT 52000 • Urology | $237 | $350 | $463 |
| 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 | $876 | $876 | $876 |
| Cystourethroscopy with lithotripsy CPT 52353 • Urology | $380 | $380 | $380 |
| Laser vaporization of prostate CPT 52648 • Urology | $674 | $674 | $674 |
| Circumcision CPT 54150 • Urology | $95 | $200 | $304 |
| Orchiectomy simple CPT 54520 • Urology | $30 | $30 | $30 |
| Vasectomy CPT 55250 • Urology | $222 | $462 | $702 |
| Prostate biopsy needle or punch CPT 55700 • Urology | $481 | $481 | $481 |
| Radical prostatectomy retropubic CPT 55840 • Urology | $30 | $30 | $30 |