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Telescope Surgery To Open A Blocked Kidney Outlet

New Hampshire 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 $2,951 · 10th–90th $550$9,7720%20%10th90th$2,951Professionalmedian $1,023 · 10th–90th $676$1,7780%10%10th90th$1,023$100.0$500.0$2.0K$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
$549.54
Median
$2,398.83
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,380.38
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,148.15
Typical High
$2,089.30
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,258.93
Typical High
$2,511.89