| Code | Description | States | Median rate |
|---|---|---|---|
| 52000 | Cystoscopy (bladder scope), diagnostic | 48 | $167.81 |
| 52001 | Bladder scope with clot washout | 47 | $326.27 |
| 52005 | Cystoscopy with ureter catheter placement | 48 | $226.00 |
| 52204 | Cystoscopy with biopsy | 48 | $284.18 |
| 52224 | Cystoscopy with destruction of small bladder lesion | 48 | $604.05 |
| 52234 | Bladder scope with small tumor removal (0.5 to 2 cm) | 48 | $216.00 |
| 52235 | Bladder scope with medium tumor removal (2 to 5 cm) | 48 | $252.00 |
| 52240 | Bladder scope with large tumor removal (over 5 cm) | 48 | $370.37 |
| 52276 | Bladder scope with cutting of a urethral narrowing | 48 | $226.96 |
| 52282 | Bladder scope with permanent urethral stent | 47 | $291.01 |
| 52287 | Cystoscopy with bladder Botox injections | 48 | $270.88 |
| 52310 | Cystoscopy with removal of a stent or foreign body, simple | 48 | $241.52 |
| 52318 | Bladder stone crushing and removal, large (over 2.5 cm) | 48 | $413.09 |
| 52332 | Cystoscopy with ureteral stent placement | 48 | $301.31 |
| 52351 | Bladder and ureter scope, diagnostic | 48 | $256.35 |
| 52352 | Bladder and ureter scope with stone removal | 47 | $305.74 |
| 52353 | Bladder and ureter scope with stone breaking (lithotripsy) | 48 | $344.81 |
| 52354 | Bladder and ureter scope with lesion biopsy or burning | 47 | $334.12 |
| 52355 | Bladder and ureter scope with tumor removal | 47 | $393.14 |
| 52356 | Ureteroscopy with laser stone fragmentation and stent | 48 | $328.66 |
| 52441 | Prostate lift implant through the urethra, first (UroLift) | 46 | $977.56 |
| 52442 | Prostate lift implant, each added (UroLift) | 46 | $695.62 |
| 52450 | Prostate incision through the urethra | 48 | $391.02 |
| 52601 | Prostate removal through the urethra (TURP) | 48 | $620.74 |
| 52630 | Repeat prostate resection through the urethra | 47 | $368.03 |
| 52647 | Laser coagulation of the prostate through the urethra | 12 | $1,480.99 |
| 52648 | Laser vaporization of the prostate | 48 | $694.50 |
| 52649 | Laser prostate removal through the urethra (HoLEP) | 48 | $683.89 |
| 52700 | Prostate abscess drainage through the urethra | 48 | $341.65 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.