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Radical Tonsil Area Removal With Flap Repair

Minnesota 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 $4,571 · 10th–90th $550$14,7910%5%10th90th$4,571$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
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$17,782.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,943.28
Typical High
$19,054.61
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$7,585.78
Typical High
$14,791.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,090.30
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,311.31
Typical High
$8,511.38