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Telescope Surgery To Open A Blocked Kidney Outlet

Indiana 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 $15,488 · 10th–90th $1,380$25,7040%10%10th90th$15,488Professionalmedian $794 · 10th–90th $661$1,5490%20%10th90th$794$500.0$1.0K$2.0K$5.0K$10.0K$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
$794.33
Median
$2,344.23
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$724.44
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$19,054.61
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,621.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$9,549.93
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,380.38