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Radical Tonsil Area Removal With Flap Repair

Nebraska 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 $7,244 · 10th–90th $2,399$13,8040%10%20%10th90th$7,244Professionalmedian $5,129 · 10th–90th $4,266$6,7610%20%40%10th90th$5,129$2.0K$5.0K$10.0K$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
$3,890.45
Median
$7,943.28
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$7,943.28
Typical High
$15,488.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,311.31
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,128.61
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,466.84
Typical High
$8,128.31