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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Washington, DC 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 $3,981 · 10th–90th $661$7,7620%10%10th90th$3,981Professionalmedian $692 · 10th–90th $575$8710%20%40%10th90th$692$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
$660.69
Median
$3,981.07
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$794.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,659.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,479.11
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$6,606.93
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$1,584.89