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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Montana 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 October 2026.

How much does Pedicle Flap On Eyelid, Nose, Ear Or Lip cost?

$1,023

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,122 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,023$813 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,122$977 to $1,380

How much rates vary

Facilitymedian $1,122 · 10th to 90th $955 to $1,549Professionalmedian $1,023 · 10th to 90th $617 to $1,318
$100$200$500$1K$2K$5Kfacility $1,122professional $1,023

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$741.31
Typical High
$954.99
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,230.27
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,096.48
Typical High
$1,412.54
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$954.99
Typical High
$1,445.44
Providence
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$5,128.61
Providence
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$933.25
Typical High
$1,258.93
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,202.26
Typical High
$1,445.44

Where Montana sits

The same service costs 4.5 times more in Alaska than in Texas. 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.

Montana· 14th of 51

$1,023

AK $2,630TX $589

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.