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Creating And Widening A Kidney Access Passage

California rates for HCPCS 50437

Creates a passage from the skin into the urine-collecting part of the kidney and then widens it, so instruments can be passed through to treat stones or other problems. Imaging guides the needle and the dilators, and a tube is often left in the passage at the end. Both the new passage and the widening are done in the same session.

Facilitymedian $5,012 · 10th–90th $2,399$13,8040%10%10th90th$5,012Professionalmedian $275 · 10th–90th $219$6310%20%10th90th$275$50.0$200.0$1.0K$5.0K$20.0K

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
$2,344.23
Median
$6,456.54
Typical High
$16,982.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,570.88
Typical High
$12,882.50
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$12,589.25
Typical High
$28,183.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,454.71
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$281.84
Typical High
$630.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$9,772.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$9,549.93
Typical High
$20,417.38