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Free Muscle Flap For Facial Paralysis

North Dakota 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 October 2026.

How much does Free Muscle Flap For Facial Paralysis cost?

$4,677

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,786 from a physician practice, and about $2,570 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,786$4,169 to $5,754
FacilityA hospital or hospital-owned outpatient department$2,570$1,023 to $2,692

How much rates vary

Facilitymedian $2,570 · 10th to 90th $832 to $4,467Professionalmedian $4,786 · 10th to 90th $2,818 to $6,457
$1K$2K$5K$10K$20Kfacility $2,570professional $4,786

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,691.53
Typical High
$2,691.53
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$5,248.07
Typical High
$6,456.54
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$5,011.87
Median
$6,309.57
Typical High
$7,585.78
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$2,884.03
Median
$3,715.35
Typical High
$4,466.84
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$416.87
Median
$524.81
Typical High
$645.65
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$5,623.41
Typical High
$8,128.31
Medica
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$1,778.28
Typical High
$4,570.88
Medica
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$4,570.88
Typical High
$19,952.62
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$4,570.88
Typical High
$5,011.87

Where North Dakota sits

The same service costs 15.8 times more in Alaska than in Texas. 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 Dakota· 7th of 51

$4,677

AK $8,128TX $513

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.