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Free Muscle Flap For Facial Paralysis

Pennsylvania 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?

$3,020

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $5,248 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$2,455$2,344 to $3,020
FacilityA hospital or hospital-owned outpatient department$5,248$2,754 to $7,244

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,413 to $8,511Professionalmedian $2,455 · 10th to 90th $2,138 to $4,266
$1K$2K$5K$10Kfacility $5,248professional $2,455

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
$1,445.44
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$3,467.37
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$57,543.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,884.03
Typical High
$4,897.79
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,235.94
Typical High
$4,897.79
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,786.30
Typical High
$8,511.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,454.71
Typical High
$6,165.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$3,019.95
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,570.40
Typical High
$4,168.69
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,630.27
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,818.38
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,884.03
Typical High
$5,248.07

Where Pennsylvania 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.

Pennsylvania· 31st of 51

$3,020

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.