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Free Tissue Transfer With Microsurgical Vessel Repair

Missouri 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 $3,981 · 10th–90th $1,778$8,7100%5%10%10th90th$3,981$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
$1,659.59
Median
$3,388.44
Typical High
$7,413.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$10,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,818.38
Typical High
$6,165.95
Medica
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$3,548.13
Median
$6,456.54
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,754.23
Typical High
$4,168.69