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Telescope Surgery To Open A Blocked Kidney Outlet

Wisconsin 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 $10,233 · 10th–90th $3,548$16,9820%10%10th90th$10,233Professionalmedian $977 · 10th–90th $676$2,9510%10%20%10th90th$977$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
$707.95
Median
$1,445.44
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$724.44
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$17,378.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,348.96
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$2,238.72
Typical High
$2,511.89
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$2,630.27
Typical High
$4,786.30
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$8,317.64
Typical High
$15,848.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,288.25
Typical High
$4,786.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$954.99
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,737.80
Typical High
$2,290.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,584.89
Typical High
$2,951.21
Quartz
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$14,454.40
Typical High
$14,454.40
Quartz
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$3,467.37
Typical High
$5,128.61
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$4,168.69
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$12,022.64
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,230.27
Typical High
$3,090.30