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Free Tissue Transfer With Microsurgical Vessel Repair

Iowa 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 $4,365 · 10th–90th $1,445$7,9430%10%10th90th$4,365Professionalmedian $3,890 · 10th–90th $2,089$10,0000%5%10%10th90th$3,890$200.0$500.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,897.79
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,311.31
Typical High
$14,454.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$4,073.80
Typical High
$7,079.46
Medica
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$5,495.41
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,754.23
Typical High
$6,456.54