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Pedicle Flap On Eyelid, Nose, Ear Or Lip

South Carolina 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 $5,495 · 10th–90th $708$20,4170%5%10th90th$5,495Professionalmedian $741 · 10th–90th $617$1,2590%20%10th90th$741$50.0$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
$707.95
Median
$9,772.37
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,309.57
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$741.31
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$6,309.57
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$1,202.26