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Free Muscle Flap For Facial Paralysis

West 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?

$2,570

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $2,570 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 4 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$2,570$2,344 to $2,692
FacilityA hospital or hospital-owned outpatient department$2,570$2,344 to $2,570

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,413 to $2,818Professionalmedian $2,570 · 10th to 90th $2,344 to $3,467
$50$200$1K$5Kfacility $2,570professional $2,570

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
$1,412.54
Median
$2,570.40
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,570.40
Typical High
$2,691.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,467.37
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,311.31
Typical High
$14,791.08
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,019.95
Typical High
$4,168.69

Where West 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.

West Virginia· 49th of 51

$2,570

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.