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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Oklahoma 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?

$4,893

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

Insurers have agreed to pay about $4,893 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $4,169 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$724$661 to $933
Facility feeThe hospital or surgery center$4,169$1,862 to $6,457

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,000 to $8,318Professionalmedian $724 · 10th to 90th $646 to $1,096
$500$1K$2K$5K$10Kfacility $4,169professional $724

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
$645.65
Median
$1,513.56
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,495.41
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$977.24
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,230.27
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,884.03
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$1,023.29

Where Oklahoma 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

Oklahoma· 14th of 50

$4,893

$724 physician + $4,169 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.