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Telescope Surgery To Open A Blocked Kidney Outlet

West Virginia 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 $676 · 10th–90th $676$1,4130%50%90th$676Professionalmedian $724 · 10th–90th $631$1,2300%20%10th90th$724$50.0$200.0$1.0K$5.0K

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
$676.08
Median
$676.08
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$707.95
Typical High
$870.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$912.01
CareSource
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,258.93