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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Missouri 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 $2,042 · 10th–90th $676$5,2480%5%10th90th$2,042Professionalmedian $776 · 10th–90th $575$2,0420%10%10th90th$776$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$575.44
Median
$3,162.28
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$3,548.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,148.15
Typical High
$11,748.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,096.48
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,659.59
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$1,348.96