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Telescope Surgery To Open A Blocked Kidney Outlet

South Carolina 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 $7,943 · 10th–90th $871$16,5960%5%10%10th90th$7,943Professionalmedian $871 · 10th–90th $692$1,6220%20%10th90th$871$50.0$200.0$1.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$7,943.28
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,737.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,943.28
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$912.01
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,479.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$15,488.17
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,479.11