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Radical Tonsil Area Removal With Flap Repair

Utah 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 $4,169 · 10th–90th $3,020$6,0260%20%10th90th$4,169Professionalmedian $3,162 · 10th–90th $2,138$4,0740%20%10th90th$3,162$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
$3,019.95
Median
$3,388.44
Typical High
$6,025.60
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,162.28
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,466.84
Typical High
$13,803.84