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Free Tissue Transfer With Microsurgical Vessel Repair

Indiana 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 $11,220 · 10th–90th $3,090$17,7830%10%10th90th$11,220$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,380.38
Median
$4,897.79
Typical High
$11,220.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$13,803.84
Typical High
$18,620.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$5,623.41
Typical High
$10,715.19