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Free Tissue Transfer With Microsurgical Vessel Repair

Nebraska 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 $7,943 · 10th–90th $3,548$14,4540%10%10th90th$7,943Professionalmedian $5,248 · 10th–90th $4,266$6,9180%20%10th90th$5,248$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,511.38
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,365.16
Typical High
$8,511.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,630.78
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,248.07
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,548.13
Typical High
$6,760.83