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Telescope Surgery To Open A Blocked Kidney Outlet

Michigan 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 $4,898 · 10th–90th $891$8,7100%50%10th90th$4,898Professionalmedian $813 · 10th–90th $661$1,3180%20%10th90th$813$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,047.13
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$2,238.72
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,137.96
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$851.14
Typical High
$1,348.96
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$851.14
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$7,585.78
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$912.01
Typical High
$1,202.26