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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Indiana 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 $7,413 · 10th–90th $1,380$11,2200%10%10th90th$7,413Professionalmedian $692 · 10th–90th $537$1,0470%10%20%10th90th$692$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
$831.76
Median
$4,897.79
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$812.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$8,317.64
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$1,230.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$776.25
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,630.78
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,230.27