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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Virginia 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?

$891

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $1,622 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 8 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$832$708 to $1,122
FacilityA hospital or hospital-owned outpatient department$1,622$891 to $4,898

How much rates vary

Facilitymedian $1,622 · 10th to 90th $724 to $7,943Professionalmedian $832 · 10th to 90th $617 to $1,585
$500$1K$2K$5K$10Kfacility $1,622professional $832

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
$794.33
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,584.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,348.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,122.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,288.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Sentara
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$812.83
Typical High
$1,380.38

Where Virginia 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.

Virginia· 27th of 51

$891

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.