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Radical Tonsil Area Removal With Flap Repair

California rates for HCPCS 42845

Removes a cancer involving the tonsil, the folds of tissue around it and the area behind the back teeth, taking a wide margin of surrounding tissue, then rebuilds the site with a flap of tissue brought in from elsewhere in the body. Bringing in tissue with its own blood supply fills the gap and helps swallowing and speech recover. It is a lengthy operation, usually part of a wider cancer treatment plan.

Facilitymedian $10,471 · 10th–90th $3,020$17,7830%10%10th90th$10,471Professionalmedian $2,239 · 10th–90th $1,738$4,5710%20%40%10th90th$2,239$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$3,715.35
Median
$10,471.29
Typical High
$22,908.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,481.54
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$5,754.40
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,023.29
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,238.72
Typical High
$2,884.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,238.72
Typical High
$4,786.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$13,803.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,691.53
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,623.41
Typical High
$17,378.01