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Radical Tonsil Area Removal With Flap Repair

Oregon 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 $3,981 · 10th–90th $2,188$5,3700%20%10th90th$3,981Professionalmedian $4,074 · 10th–90th $3,162$5,2480%20%10th90th$4,074$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
$3,388.44
Median
$5,495.41
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,073.80
Typical High
$5,248.07
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,951.21
Typical High
$5,248.07
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,265.80
Typical High
$4,365.16
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,019.95
Typical High
$5,128.61
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$8,511.38
Typical High
$31,622.78