Free Tissue Transfer With Microsurgical Vessel Repair
Montana 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.
How much does Free Tissue Transfer With Microsurgical Vessel Repair cost?
$3,890
Typical facility fee. In Montana, July 2026.
Insurers have agreed to pay about $3,890 for this service. Most negotiated rates run $3,802 to $3,981.
These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $3,890 · 10th to 90th $3,090 to $4,169
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Facility
Global
$3,548.13
$3,548.13
$3,548.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,981.07
Typical High
$4,168.69
Facility
Global
$3,801.89
$3,981.07
$4,168.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,344.23
Typical High
$4,570.88
Facility
Global
$1,905.46
$2,344.23
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Facility
Global
$2,511.89
$2,511.89
$2,511.89
Where Montana sits
The same service costs 8.1 times more in Maine than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.