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Radical Tonsil Area Removal With Flap Repair

Louisiana 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 $3,090 · 10th–90th $794$4,3650%20%10th90th$3,090$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$933.25
Median
$3,162.28
Typical High
$4,365.16
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,230.27
Typical High
$6,025.60