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Radical Tonsil Area Removal With Flap Repair

Washington, DC 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 $2,570 · 10th–90th $1,698$7,7620%10%20%10th90th$2,570Professionalmedian $2,138 · 10th–90th $2,042$4,5710%50%10th90th$2,138$1.0K$2.0K$5.0K$10.0K

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
$1,698.24
Median
$2,570.40
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,137.96
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,089.30
Typical High
$16,218.10