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Radical Tonsil Area Removal With Flap Repair

Michigan 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 $4,898 · 10th–90th $2,818$5,2480%50%10th90th$4,898$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$2,818.38
Median
$4,897.79
Typical High
$4,897.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$660.69
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,897.79
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,548.13
Typical High
$6,309.57