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Radical Tonsil Area Removal With Flap Repair

New Mexico 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 $3,020 · 10th–90th $2,042$7,7620%10%10th90th$3,020$500.0$1.0K$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
$2,344.23
Median
$3,162.28
Typical High
$7,762.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,818.38
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,365.16
Typical High
$12,589.25