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Free Tissue Transfer With Microsurgical Vessel Repair

Alaska rates for HCPCS 15758

Moves a piece of the patient's own tissue, with its own artery and vein, from one part of the body to another to rebuild a defect, and reconnects those tiny vessels to blood vessels at the new site under a microscope. Because the transferred tissue brings its own blood supply, it survives in places where a simple graft would not take. It is used for defects after injury, cancer removal, or radiation damage.

Rates data updated July 2026.

Facilitymedian $7,413 · 10th–90th $1,950$15,8490%10%10th90th$7,413$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,715.19
Typical High
$14,125.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,162.28
Typical High
$15,848.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,162.28
Typical High
$15,848.93