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Fascia Graft for a Paralysed Face

South Dakota rates for HCPCS 15840

Takes a strip of fascia, the tough sheet of tissue that wraps muscle, from elsewhere on the body and uses it as a sling to hold up the drooping side of a face paralysed by facial nerve damage. The strip is anchored so that it lifts the corner of the mouth and the cheek into a more even position. It provides steady support rather than restoring movement.

Facilitymedian $1,413 · 10th–90th $977$4,3650%20%10th90th$1,413Professionalmedian $1,698 · 10th–90th $1,148$2,1880%20%10th90th$1,698$1.0K$2.0K$5.0K

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
$977.24
Median
$977.24
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,290.87
Typical High
$2,290.87
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28