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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Maryland 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?

$1,470

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

Insurers have agreed to pay about $1,470 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $676 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$794$708 to $851
Facility feeThe hospital or surgery center$676$525 to $871

How much rates vary

Facilitymedian $676 · 10th to 90th $513 to $1,622Professionalmedian $794 · 10th to 90th $661 to $1,202
$500$1K$2Kfacility $676professional $794

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$851.14
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$831.76
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,584.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,122.02

Where Maryland 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

Maryland· 49th of 50

$1,470

$794 physician + $676 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.