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Telescope Surgery To Open A Blocked Kidney Outlet

Arkansas 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 $2,042 · 10th–90th $977$6,6070%10%10th90th$2,042Professionalmedian $813 · 10th–90th $661$1,1220%10%20%10th90th$813$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
$977.24
Median
$1,288.25
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$6,606.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,230.27
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,365.16
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$1,348.96