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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Louisiana 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 $2,042 · 10th–90th $759$4,5710%5%10%10th90th$2,042Professionalmedian $813 · 10th–90th $617$1,0230%20%10th90th$813$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
$758.58
Median
$1,905.46
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,019.95
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$776.25
Typical High
$933.25
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$812.83
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,698.24
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$1,230.27