go back

Palate Or Throat Lesion Removal With Flap Closure

Washington 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 $891 · 10th–90th $468$13,8040%10%10th90th$891Professionalmedian $525 · 10th–90th $331$1,0960%10%20%10th90th$525$20.0$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
$676.08
Median
$1,230.27
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$977.24
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,488.17
Typical High
$31,622.78
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$616.60
Typical High
$1,230.27
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$724.44
Typical High
$5,248.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$676.08
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$213.80
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$891.25
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$4,168.69
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$1,148.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$16,218.10
Typical High
$31,622.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$16,982.44
Typical High
$33,113.11
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$977.24
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$676.08