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Radical Tonsil Area Removal With Flap Repair

Hawaii 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 $2,818 · 10th–90th $2,455$2,8180%50%10th$2,818Professionalmedian $2,344 · 10th–90th $1,950$2,9510%20%40%10th90th$2,344$1.0K$2.0K

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
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,344.23
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71