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Free Muscle Flap For Facial Paralysis

North Carolina 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?

$2,818

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $3,802 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 6 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$2,692$2,570 to $5,012
FacilityA hospital or hospital-owned outpatient department$3,802$2,630 to $8,710

How much rates vary

Facilitymedian $3,802 · 10th to 90th $1,698 to $10,471Professionalmedian $2,692 · 10th to 90th $2,291 to $7,762
$1K$2K$5K$10Kfacility $3,802professional $2,692

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
$1,659.59
Median
$7,762.47
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,630.27
Typical High
$8,128.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,786.30
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$5,888.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,570.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$5,370.32
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$16,595.87
Typical High
$16,595.87
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$22,908.68

Where North Carolina 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.

North Carolina· 37th of 51

$2,818

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.