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Pedicle Flap On Eyelid, Nose, Ear Or Lip

New Jersey 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 $6,457 · 10th–90th $1,259$11,2200%10%10th90th$6,457Professionalmedian $724 · 10th–90th $562$2,5700%10%20%10th90th$724$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
$1,122.02
Median
$6,760.83
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$851.14
Typical High
$1,621.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,288.25
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,623.41
Typical High
$9,332.54
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$1,380.38