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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Maine 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.

Professionalmedian $832 · 10th–90th $575$1,3800%10%10th90th$832$500.0$1.0K$2.0K$5.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$933.25
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$977.24
Typical High
$1,778.28
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,584.89
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$1,737.80