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Pedicle Flap On Eyelid, Nose, Ear Or Lip

California 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 $7,079 · 10th–90th $1,950$15,8490%5%10%10th90th$7,079Professionalmedian $794 · 10th–90th $575$3,0200%10%10th90th$794$50.0$200.0$1.0K$5.0K$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
$2,818.38
Median
$6,760.83
Typical High
$19,054.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$3,548.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$2,089.30
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$4,897.79
Typical High
$9,772.37
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$794.33
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$870.96
Typical High
$1,621.81
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$724.44
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,548.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$45,708.82
Typical High
$45,708.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$6,606.93
Typical High
$6,606.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,258.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$870.96
Typical High
$1,778.28
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,630.27
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,365.16
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,621.81