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Free Muscle Flap For Facial Paralysis

Utah 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 $4,571 · 10th–90th $2,692$8,7100%10%10th90th$4,571Professionalmedian $2,692 · 10th–90th $2,291$4,8980%20%10th90th$2,692$50.0$200.0$1.0K$5.0K

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
$2,691.53
Median
$4,570.88
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,691.53
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,388.44
Typical High
$4,466.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$8,317.64
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$5,495.41
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,311.31
Typical High
$4,570.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$3,388.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,467.37
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,754.23
Typical High
$4,265.80