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Removal of Part of the Throat Wall With Flap Repair

South Dakota rates for HCPCS 42894

Removes a section of the wall of the throat and rebuilds the gap with a flap of the patient's own tissue, moved in with its blood supply so the passage stays open. It is done mainly for cancer involving the throat wall. The tissue removed is examined afterwards.

Rates data updated July 2026.

How much does Removal of Part of the Throat Wall With Flap Repair cost?

$3,802

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $3,802 for this service. Most negotiated rates run $2,951 to $4,571.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,311 · 10th to 90th $1,995 to $6,166Professionalmedian $3,890 · 10th to 90th $2,692 to $4,786
$2.0K$5.0K$10.0Kfacility $3,311professional $3,890

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,235.94
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,495.41
Typical High
$5,495.41
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,801.89
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26

Where South Dakota sits

The same service costs 17.4 times more in Maine than in Wyoming. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $3,802 · 23rd of 50
ME $22,387WY $1,288

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.