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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Florida 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.

How much does Pedicle Flap On Eyelid, Nose, Ear Or Lip cost?

$776

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $5,370 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$676$589 to $832
FacilityA hospital or hospital-owned outpatient department$5,370$2,239 to $9,333

How much rates vary

Facilitymedian $5,370 · 10th to 90th $933 to $12,023Professionalmedian $676 · 10th to 90th $550 to $1,072
$500$2K$10K$50K$200Kfacility $5,370professional $676

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,677.35
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$1,047.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
AvMed
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,137.96
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$977.24
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$1,318.26
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$6,760.83
Typical High
$158,489.32
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$588.84
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$630.96
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,311.31
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$1,318.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$831.76

Where Florida sits

The same service costs 3.5 times more in Hawaii than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 42nd of 51

$776

HI $2,399WV $676

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.