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Free Tissue Transfer With Microsurgical Vessel Repair

Tennessee 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 $2,630 · 10th–90th $1,230$6,6070%10%10th90th$2,630$500.0$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
$933.25
Median
$2,454.71
Typical High
$6,456.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,398.83
Typical High
$4,365.16
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$14,125.38
Typical High
$14,125.38
Lucent Health
Setting
Facility
Modifier
62 · Two surgeons
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,467.37
Typical High
$6,309.57