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Telescope Surgery To Open A Blocked Kidney Outlet

Utah 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 $4,467 · 10th–90th $1,023$10,0000%20%10th90th$4,467Professionalmedian $813 · 10th–90th $661$1,6220%20%10th90th$813$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
$1,023.29
Median
$3,388.44
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,023.29
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,737.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,000.00
Typical High
$15,135.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,258.93
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,288.25
Typical High
$1,949.84
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,071.52
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$1,479.11