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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Louisiana rates for HCPCS 64820

This procedure interrupts the small sympathetic nerve fibers that cause blood vessels in a finger or toe to narrow, done to improve blood flow to the digit. It is typically used for severe circulation problems in a single digit, such as when other treatments have not relieved poor blood flow or non-healing sores.

Rates data updated July 2026.

How much does Nerve Surgery to Improve Blood Flow to a Finger or Toe cost?

$3,752

Typical total for the visit. In Louisiana, July 2026.

Insurers have agreed to pay about $3,752 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $2,818 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$933$724 to $1,148
Facility feeThe hospital or surgery center$2,818$1,318 to $3,715

How much rates vary

Facilitymedian $2,818 · 10th to 90th $933 to $5,248Professionalmedian $933 · 10th to 90th $631 to $1,445
$1K$2K$5Kfacility $2,818professional $933

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,691.53
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,388.44
Typical High
$5,128.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,288.25
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,398.83
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,513.56

Where Louisiana sits

The same service costs 6.1 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Louisiana· 28th of 50

$3,752

$933 physician + $2,818 facility

IN $8,905WV $1,455

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.