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Free Tissue Transfer With Microsurgical Vessel Repair

California 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 $10,233 · 10th–90th $3,467$17,7830%10%10th90th$10,233Professionalmedian $2,399 · 10th–90th $1,778$5,2480%20%10th90th$2,399$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$2,951.21
Median
$7,079.46
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$11,220.18
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$6,918.31
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$3,467.37
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$2,951.21
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,398.83
Typical High
$5,370.32
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$14,125.38
Lucent Health
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,570.40
Typical High
$4,073.80
Providence
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,413.10
Typical High
$15,135.61