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Forming A Skin Flap On A Stalk

Utah rates for HCPCS 15570

Raises a flap of skin and the fat beneath it that stays attached along one edge by a stalk carrying its blood supply, so the tissue can be moved to cover a nearby wound. The stalk keeps the flap alive until it builds a new blood supply where it has been placed. Further operations are usually needed to complete the transfer.

Rates data updated July 2026.

Facilitymedian $4,467 · 10th–90th $759$7,9430%10%10th90th$4,467Professionalmedian $1,096 · 10th–90th $724$1,9500%10%10th90th$1,096$500.0$1.0K$2.0K$5.0K$10.0K

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
$758.58
Median
$4,570.88
Typical High
$8,511.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$5,495.41
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,096.48
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61