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Free Tissue Transfer With Microsurgical Vessel Repair

Maryland 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 $955 · 10th–90th $1$1,6220%20%40%10th90th$955Professionalmedian $2,344 · 10th–90th $2,042$4,6770%20%40%10th90th$2,344$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.98
Median
$0.98
Typical High
$0.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,344.23
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,621.81