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Radical Tonsil Area Removal With Flap Repair

Ohio 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 $8,128 · 10th–90th $2,239$19,0550%5%10%10th90th$8,128$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
$2,398.83
Median
$8,912.51
Typical High
$11,748.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$9,549.93
Typical High
$21,379.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,187.76
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$3,715.35
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,202.26
Typical High
$21,379.62
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,884.03
Typical High
$5,754.40