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Free Muscle Flap For Facial Paralysis

Montana rates for HCPCS 15842

Microsurgery that transfers a muscle from elsewhere in the body into a paralysed face along with its own artery, vein, and nerve. Those vessels are reconnected under a microscope so the muscle keeps its blood supply, and the nerve is wired to a source of signal so the muscle can contract and produce a smile. It is used for long-standing facial paralysis where the original muscles can no longer recover.

Rates data updated July 2026.

How much does Free Muscle Flap For Facial Paralysis cost?

$4,571

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $4,571 from a physician practice, and about $4,571 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,571$4,074 to $5,012
FacilityA hospital or hospital-owned outpatient department$4,571$4,266 to $4,786

How much rates vary

Facilitymedian $4,571 · 10th to 90th $3,802 to $5,248Professionalmedian $4,571 · 10th to 90th $2,630 to $14,454
$100$200$500$1K$2K$5K$10Kfacility $4,571professional $4,571

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
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$4,265.80
Typical High
$4,570.88
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$5,248.07
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$5,248.07
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,570.40
Typical High
$5,011.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,884.03
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$4,365.16
Typical High
$5,128.61

Where Montana sits

The same service costs 3.2 times more in California than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 10th of 51

$4,571

CA $7,079AR $2,188

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.