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Telescope Surgery To Open A Blocked Kidney Outlet

Washington 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 $1,778 · 10th–90th $1,023$20,8930%10%10th90th$1,778Professionalmedian $955 · 10th–90th $661$1,9050%10%10th90th$955$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
$1,318.26
Median
$1,819.70
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,737.80
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,803.84
Typical High
$28,183.83
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,318.26
Typical High
$2,089.30
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,659.59
Typical High
$13,182.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,548.82
Typical High
$4,897.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,380.38
Typical High
$1,380.38
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$954.99
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$2,041.74
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$14,454.40
Typical High
$28,183.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$16,595.87
Typical High
$30,902.95
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$1,949.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,258.93