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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Oklahoma 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 $4,074 · 10th–90th $794$11,4820%5%10th90th$4,074Professionalmedian $776 · 10th–90th $631$1,1220%20%10th90th$776$200.0$1.0K$5.0K$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
$794.33
Median
$1,513.56
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$7,762.47
Typical High
$13,182.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$870.96
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,995.26
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,023.29