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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Maryland 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 $813 · 10th–90th $646$4,2660%10%20%10th90th$813Professionalmedian $794 · 10th–90th $617$2,0890%10%20%10th90th$794$500.0$1.0K$2.0K

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
$645.65
Median
$812.83
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$2,187.76
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$660.69
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$1,513.56
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,288.25