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Telescope Surgery To Open A Blocked Kidney Outlet

Massachusetts 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 $3,090 · 10th–90th $708$7,7620%5%10%10th90th$3,090Professionalmedian $871 · 10th–90th $646$1,9950%20%10th90th$871$100.0$500.0$2.0K$10.0K$50.0K

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
$724.44
Median
$3,090.30
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$1,905.46
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,011.87
Typical High
$13,803.84
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,047.13
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,071.52
Typical High
$2,454.71
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$776.25
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$676.08
Typical High
$1,000.00
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,148.15
Typical High
$1,949.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,011.87
Typical High
$13,803.84
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,047.13
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$5,888.44
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$2,951.21