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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Illinois 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 $1,778 · 10th–90th $708$7,5860%10%10th90th$1,778Professionalmedian $851 · 10th–90th $575$1,4790%10%20%10th90th$851$1.0$5.0$20.0$100.0$500.0$2.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,659.59
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,479.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$11,748.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$912.01
Typical High
$1,412.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$2,754.23
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$812.83
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,137.96
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,584.89