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Radical Tonsil Area Removal With Flap Repair

Montana 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 $3,715 · 10th–90th $2,399$4,5710%20%40%10th90th$3,715$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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,801.89
Typical High
$4,265.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,090.30
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89