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Radical Tonsil Area Removal With Flap Repair

Indiana 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 $18,197 · 10th–90th $3,090$25,7040%10%10th90th$18,197$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,344.23
Median
$3,090.30
Typical High
$4,897.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$19,952.62
Typical High
$27,542.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,187.76
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$6,606.93
Typical High
$12,882.50