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Scope Treatment of a Ureterocele in the Bladder

Oklahoma 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 $5,623 · 10th–90th $1,000$12,0230%5%10%10th90th$5,623Professionalmedian $331 · 10th–90th $269$5370%20%40%10th90th$331$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
$1,000.00
Median
$1,621.81
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$7,943.28
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$389.05
Typical High
$478.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,862.09
Typical High
$6,456.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,951.21
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$457.09