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Scope Treatment of a Ureterocele in the Bladder

Florida rates for HCPCS 52301

A thin telescope is passed along the urine channel into the bladder, and a ureterocele — a balloon-like swelling at the end of the tube bringing urine down from the kidney — is cut open or destroyed so urine can drain freely. It is done entirely through the natural opening, with no external incision.

Rates data updated July 2026.

Facilitymedian $6,310 · 10th–90th $1,000$13,4900%10%10th90th$6,310Professionalmedian $302 · 10th–90th $245$6310%20%40%10th90th$302$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$5,495.41
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$851.14
AvMed
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,630.78
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,659.59
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$588.84
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,754.40
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$616.60
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$295.12