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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Arizona 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 $3,388 · 10th–90th $891$7,7620%5%10%10th90th$3,388Professionalmedian $741 · 10th–90th $562$1,7380%10%10th90th$741$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,466.84
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,737.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,884.03
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$660.69
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,905.46
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,047.13