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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 July 2026.

How much does Free Muscle Flap For Facial Paralysis cost?

$5,248

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $5,248 from a physician practice, and about $2,692 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$5,248$2,692 to $6,166
FacilityA hospital or hospital-owned outpatient department$2,692$2,692 to $6,457

How much rates vary

Facilitymedian $2,692 · 10th to 90th $2,570 to $8,511Professionalmedian $5,248 · 10th to 90th $2,570 to $6,918
$5Kfacility $2,692professional $5,248

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
$2,570.40
Median
$2,691.53
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,691.53
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,888.44
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,495.41
Typical High
$8,128.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$8,128.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,570.88
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,168.69
Typical High
$6,606.93

Where North Dakota 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 Dakota· 5th of 51

$5,248

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.