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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Michigan 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?

$813

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $4,074 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 7 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$776$661 to $912
FacilityA hospital or hospital-owned outpatient department$4,074$933 to $4,898

How much rates vary

Facilitymedian $4,074 · 10th to 90th $776 to $5,495Professionalmedian $776 · 10th to 90th $575 to $1,202
$1K$2K$5Kfacility $4,074professional $776

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
$776.25
Median
$4,073.80
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$954.99
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$3,162.28
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,398.83
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,202.26
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,754.23
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,235.94
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,202.26

Where Michigan 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.

Michigan· 36th of 51

$813

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.