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Scope Treatment of a Ureterocele in the Bladder

Louisiana 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 $2,692 · 10th–90th $759$5,6230%5%10%10th90th$2,692Professionalmedian $427 · 10th–90th $269$5130%20%10th90th$427$50.0$200.0$1.0K$5.0K

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
$676.08
Median
$1,949.84
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$4,897.79
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$478.63
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$549.54