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Pedicle Flap On Eyelid, Nose, Ear Or Lip

New Mexico 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 $2,399 · 10th–90th $741$12,0230%5%10th90th$2,399Professionalmedian $912 · 10th–90th $631$3,5480%20%10th90th$912$50.0$200.0$1.0K$5.0K

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
$870.96
Median
$1,258.93
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$3,548.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$8,511.38
Typical High
$13,489.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,258.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$218.78
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,348.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,073.80
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$1,380.38