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Free Muscle Flap For Facial Paralysis

New Hampshire 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.

Facilitymedian $3,388 · 10th–90th $1,585$14,7910%20%10th90th$3,388Professionalmedian $3,388 · 10th–90th $2,291$6,7610%10%20%10th90th$3,388$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$100.00
Median
$9,332.54
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,454.71
Typical High
$5,011.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$4,365.16
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$3,715.35
Typical High
$6,606.93
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,570.88
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,466.84
Typical High
$7,762.47