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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Kentucky 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 $3,311 · 10th–90th $741$8,5110%5%10%10th90th$3,311Professionalmedian $661 · 10th–90th $537$1,0230%10%20%10th90th$661$50.0$200.0$1.0K$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
$616.60
Median
$1,047.13
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,023.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$891.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$870.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$4,168.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,737.80
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,230.27