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Radical Tonsil Area Removal With Flap Repair

Georgia 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 $4,571 · 10th–90th $1,230$10,0000%10%10th90th$4,571Professionalmedian $2,570 · 10th–90th $1,995$5,1290%20%10th90th$2,570$100.0$500.0$2.0K$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
$3,467.37
Median
$5,370.32
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,890.45
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$512.86
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,570.40
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$2,454.71
Typical High
$6,606.93