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Attached Tissue Flap From Scalp, Arm, or Leg

New York 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?

$5,509

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $5,509 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $4,677 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$708 to $1,259
Facility feeThe hospital or surgery center$4,677$1,995 to $7,586

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,000 to $10,965Professionalmedian $832 · 10th to 90th $646 to $2,239
$500$1K$2K$5K$10Kfacility $4,677professional $832

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
$851.14
Median
$3,090.30
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$2,398.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$2,137.96
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,995.26
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,071.52
Typical High
$2,570.40
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$2,238.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$1,995.26
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$1,621.81
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,047.13
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$954.99
Typical High
$2,238.72
Univera
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$2,290.87
Univera
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$2,137.96

Where New York 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

New York· 15th of 49

$5,509

$832 physician + $4,677 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.