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Pedicle Flap On Eyelid, Nose, Ear Or Lip

Wisconsin 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 $4,266 · 10th–90th $1,122$7,5860%10%10th90th$4,266Professionalmedian $1,096 · 10th–90th $617$2,7540%5%10%10th90th$1,096$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,137.96
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,897.79
Typical High
$7,585.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,479.11
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,230.27
Typical High
$2,344.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,621.81
Typical High
$5,128.61
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,737.80
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,621.81
Typical High
$5,128.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,445.44
Typical High
$4,786.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,949.84
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,890.45
Typical High
$4,570.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,905.46
Typical High
$2,884.03
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$933.25
Typical High
$2,137.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,819.70
Typical High
$2,630.27
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,309.57
Typical High
$6,309.57
Quartz
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$5,754.40
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,479.11
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,754.23
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$2,884.03