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Radical Tonsil Area Removal With Flap Repair

Illinois 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 $4,169 · 10th–90th $1,148$9,7720%5%10%10th90th$4,169Professionalmedian $3,802 · 10th–90th $2,188$10,7150%10%10th90th$3,802$100.0$500.0$2.0K$10.0K$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
$1,148.15
Median
$4,168.69
Typical High
$8,511.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$24,547.09
Typical High
$47,863.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,801.89
Typical High
$10,715.19
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,818.38
Typical High
$7,413.10