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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Minnesota 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 $2,570 · 10th–90th $759$6,7610%10%10th90th$2,570Professionalmedian $1,549 · 10th–90th $759$2,8180%5%10%10th90th$1,549$50.0$200.0$1.0K$5.0K

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
$630.96
Median
$758.58
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,174.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,548.13
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,621.81
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,818.38
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,187.76
Typical High
$3,388.44
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$6,165.95
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,949.84
Typical High
$3,162.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,548.13
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,412.54
Typical High
$2,691.53