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Telescope Surgery To Open A Blocked Kidney Outlet

Maryland 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 $2,884 · 10th–90th $2,630$10,9650%20%10th90th$2,884Professionalmedian $813 · 10th–90th $631$1,5850%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$812.83
Typical High
$1,584.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$1,995.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,445.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$977.24