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Radical Tonsil Area Removal With Flap Repair

Massachusetts 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 $1,413$5,6230%10%10th90th$3,090$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
$2,187.76
Median
$3,388.44
Typical High
$5,623.41
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,454.71
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$741.31
Typical High
$1,380.38
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,691.53
Typical High
$4,265.80
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$2,511.89
Typical High
$4,677.35
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,454.71
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,073.80