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Scope Treatment of a Ureterocele in the Bladder

Wyoming 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 $7,244 · 10th–90th $2,630$10,9650%20%40%10th90th$7,244Professionalmedian $708 · 10th–90th $562$8320%20%10th90th$708$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$7,244.36
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$1,096.48