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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Hawaii 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 $4,467 · 10th–90th $1,318$4,4670%50%10th$4,467Professionalmedian $2,399 · 10th–90th $724$6,1660%5%10%10th90th$2,399$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,318.26
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$1,230.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,122.02
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$2,691.53
Typical High
$6,165.95