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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Massachusetts 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.

How much does Pedicle Flap On Eyelid, Nose, Ear Or Lip cost?

$1,047

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $2,188 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,000$692 to $1,549
FacilityA hospital or hospital-owned outpatient department$2,188$776 to $3,715

How much rates vary

Facilitymedian $2,188 · 10th to 90th $708 to $4,898Professionalmedian $1,000 · 10th to 90th $575 to $2,042
$1K$2K$5K$10K$20K$50Kfacility $2,188professional $1,000

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,090.30
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,737.80
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,630.78
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,023.29
Typical High
$2,290.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$2,089.30
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$3,890.45
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,380.38
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$2,089.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,630.78
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,023.29
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,630.78
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$2,137.96

Where Massachusetts sits

The same service costs 3.5 times more in Hawaii than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 14th of 51

$1,047

HI $2,399WV $676

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.