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Radical Tonsil Area Removal With Flap Repair

Kentucky 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 $8,511 · 10th–90th $851$11,2200%20%10th90th$8,511$50.0$200.0$1.0K$5.0K$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
$851.14
Median
$2,691.53
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$10,715.19
Typical High
$15,135.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,715.35
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,168.69
Typical High
$28,183.83