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Free Muscle Flap For Facial Paralysis

Virginia 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?

$3,162

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $3,890 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 8 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$3,020$2,630 to $3,715
FacilityA hospital or hospital-owned outpatient department$3,890$3,020 to $6,761

How much rates vary

Facilitymedian $3,890 · 10th to 90th $2,344 to $9,772Professionalmedian $3,020 · 10th to 90th $2,344 to $5,370
$2K$5K$10Kfacility $3,890professional $3,020

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
$2,691.53
Median
$5,495.41
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,818.38
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$4,897.79
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$2,511.89
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,162.28
Typical High
$5,248.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$3,235.94
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,265.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$4,897.79
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$12,882.50
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,235.94
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,235.94
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,951.21
Typical High
$5,011.87

Where Virginia 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.

Virginia· 27th of 51

$3,162

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.