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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Delaware 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 $7,244 · 10th–90th $676$13,4900%20%10th90th$7,244Professionalmedian $692 · 10th–90th $562$1,6980%20%10th90th$692$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
$4,897.79
Median
$7,244.36
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,071.52