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Radical Tonsil Area Removal With Flap Repair

Nevada 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 $5,012 · 10th–90th $2,138$10,2330%10%20%10th90th$5,012Professionalmedian $1,905 · 10th–90th $15$2,8840%20%10th90th$1,905$1.0$5.0$20.0$100.0$500.0$2.0K$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
$2,238.72
Median
$4,466.84
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$11,748.98
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$1,905.46
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,041.74
Typical High
$6,606.93