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Telescope Surgery To Open A Blocked Kidney Outlet

Alaska rates for HCPCS 50575

A telescope is passed into the kidney's collecting system through a small opening in the side, and the narrowed point where the kidney drains into the ureter is cut open to relieve the holdup. A stent is usually left across the area while it heals.

Facilitymedian $1,288 · 10th–90th $708$10,9650%10%10th90th$1,288Professionalmedian $891 · 10th–90th $661$3,3880%10%10th90th$891$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$12,022.64
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$2,511.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,174.90
Typical High
$4,677.35
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,995.26
Typical High
$5,011.87
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$4,466.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$4,677.35
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,548.82
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,995.26
Typical High
$4,570.88