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Scope Treatment of a Ureterocele in the Bladder

New Jersey 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 $6,918 · 10th–90th $3,467$10,9650%10%10th90th$6,918Professionalmedian $324 · 10th–90th $257$5,8880%10%20%10th90th$324$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$3,467.37
Median
$6,918.31
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$776.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$478.63
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$11,220.18
Typical High
$15,848.93
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$630.96