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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Rhode Island 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 $3,715 · 10th–90th $1,862$5,4950%10%20%10th90th$3,715Professionalmedian $708 · 10th–90th $575$1,1480%10%20%10th90th$708$500.0$1.0K$2.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,715.35
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,073.80
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$1,445.44