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Free Tissue Transfer With Microsurgical Vessel Repair

Idaho 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 $1,950$7,7620%10%10th90th$4,467$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
$2,884.03
Median
$4,466.84
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$6,309.57
Typical High
$8,128.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,090.30
Typical High
$4,466.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,302.69
Typical High
$12,302.69