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Free Tissue Transfer With Microsurgical Vessel Repair

Hawaii 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 October 2026.

How much does Free Tissue Transfer With Microsurgical Vessel Repair cost?

$2,692

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $2,692 for this service. Most negotiated rates run $389 to $2,818.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,778 to $4,467Professionalmedian $2,692 · 10th to 90th $30 to $2,818
$50$100$200$500$1K$2K$5Kfacility $2,818professional $2,692

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,344.23
Typical High
$2,691.53
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$2,818.38
Typical High
$2,818.38
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$389.05
Typical High
$2,691.53

Where Hawaii sits

The same service costs 19.5 times more in Alaska than in Texas. 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.

Hawaii· 24th of 51

$2,692

AK $9,120TX $468

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.