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Free Tissue Transfer With Microsurgical Vessel Repair

New York 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 $5,012 · 10th–90th $2,399$11,2200%10%10th90th$5,012$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$1,995.26
Median
$4,570.88
Typical High
$10,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,754.40
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,951.21
Typical High
$7,413.10
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,981.07
Typical High
$9,120.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$8,317.64