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Free Muscle Flap For Facial Paralysis

South 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?

$4,169

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $3,715 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 7 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$4,169$2,630 to $5,888
FacilityA hospital or hospital-owned outpatient department$3,715$3,162 to $4,365

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,239 to $6,026Professionalmedian $4,169 · 10th to 90th $2,239 to $7,586
$2K$5K$10K$20Kfacility $3,715professional $4,169

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. 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
Global
Typical Low
$2,691.53
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,454.71
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$6,165.95
Typical High
$7,585.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,715.35
Typical High
$6,456.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,786.30
Typical High
$19,952.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$6,165.95
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$4,265.80
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,466.84
Typical High
$7,079.46
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,677.35
Typical High
$5,370.32

Where South 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.

South Dakota· 12th of 51

$4,169

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.