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Muscle Graft For Facial Paralysis

New Mexico rates for HCPCS 15841

Surgery that places a piece of muscle taken from elsewhere in the body into a face that has been paralysed on one side, to restore movement. The graft is positioned so it can pull the corner of the mouth and cheek, improving symmetry at rest and when smiling. It is used when the face's own muscles can no longer be reactivated.

Rates data updated July 2026.

Facilitymedian $2,399 · 10th–90th $1,549$9,5500%10%10th90th$2,399Professionalmedian $2,138 · 10th–90th $1,698$9,5500%10%20%10th90th$2,138$50.0$200.0$1.0K$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
$1,698.24
Median
$2,454.71
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,137.96
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$2,951.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,570.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,041.74
Typical High
$2,951.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,454.71
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$9,549.93
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,511.89
Typical High
$3,162.28