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Free Tissue Transfer With Microsurgical Vessel Repair

Oregon 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 $4,467 · 10th–90th $2,754$9,5500%10%20%10th90th$4,467Professionalmedian $3,981 · 10th–90th $3,090$4,6770%20%10th90th$3,981$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
$5,128.61
Median
$7,943.28
Typical High
$17,378.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,677.35
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,388.44
Typical High
$5,623.41
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$4,570.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,388.44
Typical High
$5,623.41
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$9,120.11
Typical High
$12,022.64