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Scope Removal Of Blocking Tissue In The Urethra

South Dakota rates for HCPCS 52400

Passes a scope along the urethra and cuts or burns away flaps of tissue that obstruct the flow of urine, a blockage present from birth. Clearing the obstruction lets the bladder empty properly and protects the kidneys from back pressure. No skin incision is made.

Rates data updated July 2026.

Facilitymedian $1,288 · 10th–90th $575$4,3650%10%10th90th$1,288Professionalmedian $813 · 10th–90th $646$9770%20%10th90th$813$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$1,122.02
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$7,244.36