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Telescope Surgery To Open A Blocked Kidney Outlet

Tennessee 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 $4,266 · 10th–90th $2,291$9,3330%10%10th90th$4,266Professionalmedian $871 · 10th–90th $661$1,6980%10%20%10th90th$871$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
$1,819.70
Median
$2,691.53
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,258.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$5,370.32
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,445.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$15,488.17
Typical High
$15,488.17
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,754.40
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,548.82