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Scope Removal Of Blocking Tissue In The Urethra

Wisconsin 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 $7,586 · 10th–90th $3,981$11,7490%10%10th90th$7,586Professionalmedian $1,096 · 10th–90th $676$1,8620%10%20%10th90th$1,096$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
$478.63
Median
$9,772.37
Typical High
$9,772.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$7,943.28
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$2,290.87
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$4,168.69
Typical High
$7,413.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$5,623.41
Typical High
$8,709.64
Network Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$5,754.40
Typical High
$7,762.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$1,096.48
Quartz
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$1,548.82
Quartz
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$9,772.37
Typical High
$9,772.37
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,413.10
Typical High
$9,120.11