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Free Tissue Transfer With Microsurgical Vessel Repair

Illinois 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 $2,344 · 10th–90th $1,148$9,3330%5%10%10th90th$2,344Professionalmedian $3,631 · 10th–90th $2,188$15,4880%10%10th90th$3,631$100.0$500.0$2.0K$10.0K$50.0K

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
$1,148.15
Median
$2,137.96
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$25,118.86
Typical High
$48,977.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,630.78
Typical High
$15,488.17
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,235.94
Typical High
$6,165.95