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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.

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

$851

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $6,457 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$724$617 to $1,023
FacilityA hospital or hospital-owned outpatient department$6,457$4,571 to $9,333

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,259 to $11,220Professionalmedian $724 · 10th to 90th $562 to $2,570
$500$1K$2K$5K$10Kfacility $6,457professional $724

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where New Jersey sits

The same service costs 3.5 times more in Hawaii than in West Virginia. 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.

New Jersey· 31st of 51

$851

HI $2,399WV $676

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.