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Attached Tissue Flap From Scalp, Arm, or Leg

Alaska rates for HCPCS 15572

Raises a strip of skin and the tissue beneath it from the scalp, an arm, or a leg, leaving it joined at one end so it keeps its own blood supply, and moves it across to cover a nearby wound. The attachment stays until the moved tissue has picked up a blood supply at its new site. It is used where a plain skin graft would not survive or would be too thin.

Rates data updated July 2026.

How much does Attached Tissue Flap From Scalp, Arm, or Leg cost?

$4,743

Typical total for the visit. In Alaska, July 2026.

Insurers have agreed to pay about $4,743 for this procedure. That total is two separate charges: $2,399 to the doctor who performs it, and $2,344 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,399$1,778 to $3,090
Facility feeThe hospital or surgery center$2,344$1,023 to $5,129

How much rates vary

Facilitymedian $2,344 · 10th to 90th $646 to $12,023Professionalmedian $2,399 · 10th to 90th $851 to $3,548
$1K$2K$5K$10Kfacility $2,344professional $2,399

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,890.45
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$2,398.83
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$2,818.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$5,128.61
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,290.87
Typical High
$3,019.95
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,235.94
Typical High
$3,801.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$5,128.61
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,202.26
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,949.84
Typical High
$3,388.44

Where Alaska sits

The same service costs 7.0 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

Alaska· 23rd of 49

$4,743

$2,399 physician + $2,344 facility

IN $10,974WV $1,571

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.