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Telescope Surgery To Open A Blocked Kidney Outlet

South Dakota 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 $933 · 10th–90th $661$4,3650%20%10th90th$933Professionalmedian $891 · 10th–90th $661$1,8200%20%10th90th$891$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
$660.69
Median
$660.69
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,584.89
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,348.96
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,288.25
Typical High
$5,248.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,548.82
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$1,995.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,584.89
Typical High
$1,659.59