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Attached Tissue Flap From Scalp, Arm, or Leg

Montana 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?

$2,793

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

Insurers have agreed to pay about $2,793 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $1,413 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$1,380$1,202 to $1,549
Facility feeThe hospital or surgery center$1,413$1,259 to $1,549

How much rates vary

Facilitymedian $1,413 · 10th to 90th $1,202 to $1,660Professionalmedian $1,380 · 10th to 90th $708 to $4,074
$100$200$500$1K$2K$5K$10Kfacility $1,413professional $1,380

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
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$1,479.11
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,479.11
Typical High
$1,659.59
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,479.11
Typical High
$1,659.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,513.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,174.90
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$1,621.81

Where Montana 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

Montana· 42nd of 49

$2,793

$1,380 physician + $1,413 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.