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Scope Treatment Where The Ureter Meets The Kidney

South Dakota rates for HCPCS 52345

A fine scope is passed through the urethra and bladder and up the ureter to the point where it joins the kidney, to treat a narrowing there. The narrowed segment is opened using a balloon, a cutting instrument or a laser so urine drains freely from the kidney again. A stent is usually left in place for a while afterwards.

Facilitymedian $912 · 10th–90th $363$4,3650%20%10th90th$912Professionalmedian $661 · 10th–90th $525$8130%20%10th90th$661$500.0$1.0K$2.0K$5.0K

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
$363.08
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$933.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,244.36