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Attached Tissue Flap From Scalp, Arm, or Leg

Indiana 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?

$10,974

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

Insurers have agreed to pay about $10,974 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $10,233 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$661 to $871
Facility feeThe hospital or surgery center$10,233$6,310 to $15,136

How much rates vary

Facilitymedian $10,233 · 10th to 90th $1,738 to $17,783Professionalmedian $741 · 10th to 90th $603 to $1,175
$1K$2K$5K$10K$20Kfacility $10,233professional $741

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
$870.96
Median
$4,897.79
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$11,481.54
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,288.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,413.10
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$1,348.96

Where Indiana 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

Indiana· 1st of 49

$10,974

$741 physician + $10,233 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.