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Pedicle Flap On Eyelid, Nose, Ear Or Lip

South Dakota 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?

$1,000

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,122 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 7 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$977$676 to $1,413
FacilityA hospital or hospital-owned outpatient department$1,122$912 to $1,995

How much rates vary

Facilitymedian $1,122 · 10th to 90th $724 to $4,365Professionalmedian $977 · 10th to 90th $617 to $1,862
$1K$2K$5Kfacility $1,122professional $977

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
$660.69
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,862.09
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,584.89
Typical High
$5,888.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,548.82
Typical High
$1,819.70
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,659.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,288.25
Typical High
$2,089.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$1,819.70

Where South Dakota 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.

South Dakota· 17th of 51

$1,000

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.