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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Montana 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?

$2,390

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

Insurers have agreed to pay about $2,390 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $1,318 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$1,072$871 to $1,318
Facility feeThe hospital or surgery center$1,318$1,259 to $1,349

How much rates vary

Facilitymedian $1,318 · 10th to 90th $1,000 to $1,479Professionalmedian $1,072 · 10th to 90th $661 to $1,950
$100$200$500$1K$2K$5Kfacility $1,318professional $1,072

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
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,230.27
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,318.26
Typical High
$1,479.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,318.26
Typical High
$1,479.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,548.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$977.24
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,445.44

Where Montana 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

Montana· 43rd of 50

$2,390

$1,072 physician + $1,318 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.