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Radical Tonsil Area Removal With Flap Repair

South Dakota 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 $2,570 · 10th–90th $2,089$5,0120%20%10th90th$2,570Professionalmedian $3,631 · 10th–90th $2,512$4,5710%10%20%10th90th$3,631$2.0K$5.0K$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
$2,089.30
Median
$2,089.30
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,162.28
Typical High
$5,888.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,128.61
Typical High
$5,128.61
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,548.13
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26