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Radical Tonsil Area Removal With Flap Repair

New York 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 $5,623 · 10th–90th $2,512$12,0230%10%10th90th$5,623$50.0$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
$2,454.71
Median
$3,981.07
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,803.84
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,715.35
Typical High
$50,118.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,238.72
Typical High
$5,128.61
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,981.07
Typical High
$9,120.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,630.27
Typical High
$7,585.78