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Radical Tonsil Area Removal With Flap Repair

Florida 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 $6,457 · 10th–90th $1,230$23,4420%10%10th90th$6,457$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$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
$1,230.27
Median
$4,897.79
Typical High
$10,964.78
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$5,495.41
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$6,760.83
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$23,442.29
Typical High
$34,673.69
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$4,365.16
Typical High
$9,549.93