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Scope Treatment Of Narrowing Inside The Kidney

West Virginia rates for HCPCS 52343

A telescope is passed through the urethra into the bladder and instruments are advanced up the ureter to treat a narrowed passage inside the kidney's own collecting system. The narrowing is opened with a balloon, a laser, or a small cut, restoring the flow of urine.

Rates data updated October 2026.

How much does Scope Treatment Of Narrowing Inside The Kidney cost?

$537

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $1,549 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$331 to $955
FacilityA hospital or hospital-owned outpatient department$1,549$1,413 to $2,455

How much rates vary

Facilitymedian $1,549 · 10th to 90th $1,202 to $4,677Professionalmedian $490 · 10th to 90th $302 to $1,047
$500$1K$2K$5K$10Kfacility $1,549professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$338.84
CareSource
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$1,862.09
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$537.03
Typical High
$2,398.83
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$9,772.37
United
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$457.09
Typical High
$954.99

Where West Virginia sits

The same service costs 4.7 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 28th of 51

$537

AK $1,622NY $347

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.