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Radical Tonsil Area Removal With Flap Repair

Wisconsin 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 $9,772 · 10th–90th $2,692$18,1970%5%10%10th90th$9,772Professionalmedian $4,571 · 10th–90th $2,512$8,1280%10%10th90th$4,571$1.0K$2.0K$5.0K$10.0K$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
$2,454.71
Median
$4,466.84
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$6,606.93
Typical High
$10,715.19
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$6,165.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,818.38
Typical High
$7,585.78
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,466.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,570.88
Typical High
$7,079.46
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$19,952.62
Typical High
$19,952.62
Security Health
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,760.83
Typical High
$19,498.45