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Scope Treatment of a Ureterocele in the Bladder

Vermont 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.

Professionalmedian $398 · 10th–90th $363$5750%50%10th90th$398$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$363.08
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$1,230.27