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Radical Tonsil Area Removal With Flap Repair

Maryland 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 $457 · 10th–90th $302$1,3490%10%10th90th$457Professionalmedian $2,239 · 10th–90th $1,698$3,1620%20%10th90th$2,239$500.0$1.0K$2.0K$5.0K

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$630.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$1,348.96