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Muscle Flap Reconstruction Of The Leg Or Foot

South Dakota rates for HCPCS 15738

This is a reconstructive surgery technique that moves a section of muscle, along with the skin and tissue above it, from a nearby area to cover and repair a wound or defect in the thigh, lower leg, or foot. The moved tissue keeps its own blood supply intact throughout the move.

Rates data updated October 2026.

How much does Muscle Flap Reconstruction Of The Leg Or Foot cost?

$4,566

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $4,566 for this procedure. That total is two separate charges: $2,570 to the doctor who performs it, and $1,995 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,570$1,778 to $2,951
Facility feeThe hospital or surgery center$1,995$1,778 to $2,344

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,413 to $3,090Professionalmedian $2,570 · 10th to 90th $1,202 to $3,548
$1K$2K$5K$10Kfacility $1,995professional $2,570

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,202.26
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$3,548.13
Medica
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,995.26
Typical High
$2,884.03
Medica
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$2,884.03
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$2,951.21
Typical High
$2,951.21
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$2,454.71
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$2,398.83
Typical High
$3,548.13
Wellmark
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,630.27
Typical High
$2,630.27

Where South Dakota sits

The same service costs 3.4 times more in Alaska than in Hawaii. 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.

Physician feeFacility fee

South Dakota· 22nd of 51

$4,566

$2,570 physician + $1,995 facility

AK $9,915HI $2,891

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.