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Telescope Surgery To Open A Blocked Kidney Outlet

Idaho 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 $5,495 · 10th–90th $1,096$13,4900%10%10th90th$5,495Professionalmedian $912 · 10th–90th $661$1,6220%20%10th90th$912$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
$4,466.84
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,621.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,888.44
Typical High
$13,489.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,380.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$2,041.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,096.48
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$11,748.98
Typical High
$16,218.10
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,202.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,174.90
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$22,387.21
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,479.11