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Free Muscle Flap For Facial Paralysis

Wisconsin 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 $4,786 · 10th–90th $2,951$7,7620%10%10th90th$4,786Professionalmedian $4,571 · 10th–90th $2,239$10,0000%10%10th90th$4,571$50.0$200.0$1.0K$5.0K$20.0K

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
$2,238.72
Median
$5,495.41
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,570.40
Typical High
$8,128.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,897.79
Typical High
$7,585.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$5,128.61
Typical High
$11,748.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$8,128.31
Typical High
$12,882.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$5,370.32
Typical High
$7,762.47
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,011.87
Typical High
$8,709.64
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,606.93
Typical High
$8,128.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,073.80
Typical High
$7,585.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,265.80
Typical High
$11,481.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$3,311.31
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,265.80
Typical High
$4,786.30
Network Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$6,309.57
Typical High
$7,413.10
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,311.31
Typical High
$7,762.47
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$5,623.41
Typical High
$8,317.64
Quartz
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$16,595.87
Typical High
$16,595.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,677.35
Typical High
$19,498.45
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$11,220.18
Typical High
$12,589.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,890.45
Typical High
$10,471.29