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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Georgia 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?

$891

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $3,467 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 6 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$776$676 to $1,000
FacilityA hospital or hospital-owned outpatient department$3,467$1,698 to $5,370

How much rates vary

Facilitymedian $3,467 · 10th to 90th $977 to $7,244Professionalmedian $776 · 10th to 90th $575 to $1,549
$500$1K$2K$5K$10K$20Kfacility $3,467professional $776

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
$831.76
Median
$4,570.88
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,584.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,884.03
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$891.25
Typical High
$1,513.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,884.03
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,737.80

Where Georgia 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.

Georgia· 28th of 51

$891

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.