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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.

Facilitymedian $2,188 · 10th–90th $708$4,8980%10%10th90th$2,188Professionalmedian $1,000 · 10th–90th $575$2,0420%5%10%10th90th$1,000$100.0$500.0$2.0K$10.0K$50.0K

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
$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