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Radical Tonsil Area Removal With Flap Repair

Kansas 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 $3,631 · 10th–90th $1,698$8,5110%5%10th90th$3,631$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
$2,754.23
Median
$5,623.41
Typical High
$10,471.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,698.24
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$2,691.53
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,288.25
Typical High
$5,011.87