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Free Muscle Flap For Facial Paralysis

New York 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?

$3,467

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $4,677 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 9 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$2,754$2,291 to $4,169
FacilityA hospital or hospital-owned outpatient department$4,677$3,236 to $7,079

How much rates vary

Facilitymedian $4,677 · 10th to 90th $2,399 to $10,233Professionalmedian $2,754 · 10th to 90th $2,138 to $7,586
$500$1K$2K$5K$10Kfacility $4,677professional $2,754

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
$2,290.87
Median
$4,897.79
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,454.71
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,818.38
Typical High
$6,165.95
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,801.89
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,912.51
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$8,912.51
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,235.94
Typical High
$6,165.95
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,884.03
Typical High
$4,897.79
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$3,388.44
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,630.78
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,311.31
Typical High
$8,511.38
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,884.03
Typical High
$8,912.51
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,162.28
Typical High
$8,511.38

Where New York 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.

New York· 20th of 51

$3,467

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.