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Free Tissue Transfer With Microsurgical Vessel Repair

West Virginia 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 $2,188 · 10th–90th $1,413$2,3990%50%10th90th$2,188$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$1,412.54
Median
$2,187.76
Typical High
$2,187.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,884.03
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
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,454.71
Typical High
$2,951.21