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Telescope Surgery To Open A Blocked Kidney Outlet

Montana 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 $1,202 · 10th–90th $1,202$1,4790%50%90th$1,202Professionalmedian $891 · 10th–90th $708$1,7380%20%10th90th$891$100.0$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
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,202.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,479.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,479.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$1,380.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$851.14
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,905.46