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Diagnostic Bladder and Ureter Scope Exam

Maine rates for HCPCS 52351

A scope is passed through the urethra and up into the ureter, the tube connecting the kidney to the bladder, to directly examine it for diagnostic purposes. Placement of a small catheter in the ureter is included as part of the same procedure, but no treatment such as stone removal is performed.

Facilitymedian $6,761 · 10th–90th $1,288$14,1250%10%10th90th$6,761Professionalmedian $389 · 10th–90th $309$7410%10%20%10th90th$389$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
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$6,760.83
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$1,023.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$436.52
Typical High
$660.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$588.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$741.31