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Attached Tissue Flap From Scalp, Arm, or Leg

Hawaii 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?

$2,630

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $2,630 for this service. Most negotiated rates run $1,288 to $5,370.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,318 to $4,467Professionalmedian $2,630 · 10th to 90th $776 to $6,166
$50$100$200$500$1K$2K$5Kfacility $4,467professional $2,630

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
$1,318.26
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,258.93
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$2,691.53
Typical High
$6,165.95

Where Hawaii sits

The same service costs 5.5 times more in California 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.

Hawaii· 2nd of 51

$2,630

CA $4,169WV $759

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.