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Free Tissue Transfer With Microsurgical Vessel Repair

Washington, DC 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 $4,074 · 10th–90th $2,138$7,7620%10%10th90th$4,074Professionalmedian $4,677 · 10th–90th $2,042$5,1290%20%10th90th$4,677$2.0K$5.0K$10.0K$20.0K

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
$2,137.96
Median
$4,073.80
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$4,677.35
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,344.23
Typical High
$26,302.68