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Free Tissue Transfer With Microsurgical Vessel Repair

Oklahoma 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 $2,291 · 10th–90th $1,000$6,6070%5%10%10th90th$2,291$1.0K$2.0K$5.0K$10.0K

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
$1,000.00
Median
$1,995.26
Typical High
$6,760.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,818.38
Typical High
$5,888.44
Medica
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,691.53
Typical High
$5,754.40