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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Alaska rates for HCPCS 15576

Creates a flap of skin and underlying tissue that stays attached at one end so it keeps its own blood supply, and moves it to cover a defect on the eyelid, nose, ear, lip or inside the mouth. Keeping the attachment lets the moved tissue survive while it grows into its new bed. A later operation to divide the attachment is sometimes needed.

Rates data updated July 2026.

Facilitymedian $2,138 · 10th–90th $562$12,0230%5%10%10th90th$2,138Professionalmedian $1,995 · 10th–90th $631$3,1620%10%10th90th$1,995$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,890.45
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,698.24
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$2,570.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$4,570.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,949.84
Typical High
$2,630.27
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,884.03
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$4,570.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,071.52
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,737.80
Typical High
$3,890.45