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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Iowa 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 $977$7,9430%5%10%10th90th$3,981Professionalmedian $977 · 10th–90th $617$4,0740%10%10th90th$977$200.0$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
$977.24
Median
$4,265.80
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$2,290.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,000.00
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,819.70
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,548.82
Typical High
$4,786.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,737.80
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,786.30
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,905.46
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$1,584.89