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Radical Tonsil Area Removal With Flap Repair

Virginia 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 $3,311 · 10th–90th $2,138$19,0550%10%10th90th$3,311Professionalmedian $2,455 · 10th–90th $1,905$3,8020%20%10th90th$2,455$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$2,570.40
Median
$3,890.45
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$18,620.87
Typical High
$25,118.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$3,715.35
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$3,801.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,454.71
Typical High
$4,466.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,818.38
Typical High
$4,365.16
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$3,162.28
Typical High
$5,754.40