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Free Tissue Transfer With Microsurgical Vessel Repair

South Carolina 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 $9,772 · 10th–90th $2,455$21,8780%10%10th90th$9,772Professionalmedian $3,890 · 10th–90th $3,890$3,8900%50%100%$3,890$1.0K$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
$2,454.71
Median
$11,748.98
Typical High
$22,908.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,754.23
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$10,232.93
Typical High
$16,595.87