go back

Palate Or Throat Lesion Removal With Flap Closure

Massachusetts rates for HCPCS 42107

Surgical removal of an abnormal growth from the roof of the mouth or the soft tissue at the back of the throat, with the resulting wound then closed using a flap of nearby tissue repositioned to cover the area. This differs from simply stitching the wound edges directly together.

Facilitymedian $2,455 · 10th–90th $389$5,1290%10%10th90th$2,455Professionalmedian $513 · 10th–90th $331$1,1220%10%10th90th$513$100.0$500.0$2.0K$10.0K$50.0K

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
$478.63
Median
$2,754.23
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$954.99
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$4,677.35
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$588.84
Typical High
$3,235.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$1,202.26
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$954.99
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,801.89
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$630.96
Typical High
$1,174.90
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$4,677.35
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$588.84
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,548.13
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$630.96
Typical High
$1,258.93