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Radical Tonsil Area Removal With Flap Repair

Colorado 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 $9,550 · 10th–90th $3,236$18,1970%5%10%10th90th$9,550Professionalmedian $2,754 · 10th–90th $1,950$8,5110%20%10th90th$2,754$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,370.32
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,481.54
Typical High
$23,988.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$2,137.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,754.23
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,606.93
Typical High
$10,715.19