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Free Tissue Transfer With Microsurgical Vessel Repair

Louisiana 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 $2,630 · 10th–90th $832$5,6230%5%10%10th90th$2,630$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$2,511.89
Typical High
$4,897.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,585.78
Typical High
$10,715.19
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,819.70
Typical High
$5,888.44