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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 July 2026.

Facilitymedian $4,467 · 10th–90th $1,778$4,4670%50%10th$4,467Professionalmedian $2,344 · 10th–90th $2,138$2,6920%50%10th90th$2,344$200.0$500.0$1.0K$2.0K$5.0K

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
$1,778.28
Median
$4,466.84
Typical High
$4,466.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,344.23
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74