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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Nebraska 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 $7,244 · 10th–90th $1,380$14,4540%10%10th90th$7,244Professionalmedian $1,072 · 10th–90th $603$3,5480%5%10%10th90th$1,072$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
$5,754.40
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$4,365.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,365.16
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,071.52
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,380.38
Typical High
$4,570.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,659.59
Typical High
$5,888.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,737.80
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,691.53
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,445.44
Typical High
$1,949.84