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Radical Tonsil Area Removal With Flap Repair

Iowa 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 $4,677 · 10th–90th $2,089$7,2440%10%10th90th$4,677Professionalmedian $4,786 · 10th–90th $2,042$8,1280%10%20%10th90th$4,786$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
$3,715.35
Median
$5,370.32
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$4,677.35
Typical High
$8,317.64
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,715.35
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,128.61
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$4,897.79
Typical High
$7,585.78