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Telescope Surgery To Open A Blocked Kidney Outlet

Maine 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 $10,965 · 10th–90th $10,965$10,9650%50%100%$10,965Professionalmedian $912 · 10th–90th $708$1,4450%20%10th90th$912$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,071.52
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,000.00
Typical High
$1,548.82
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$1,380.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$1,737.80