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Scope Treatment of a Ureterocele in the Bladder

Maryland 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 $1,738 · 10th–90th $1,622$7,2440%50%10th90th$1,738Professionalmedian $302 · 10th–90th $275$7590%20%40%10th90th$302$200.0$500.0$1.0K$2.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$1,513.56
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$309.03
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$616.60
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$398.11