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Nerve Procedure Near The Wrist To Improve Hand Blood Flow

Delaware rates for HCPCS 64821

This procedure interrupts small nerve fibers that run alongside the radial artery near the wrist to reduce excessive tightening (spasm) of the vessel and improve blood flow to the hand. It's most often used to treat severe circulation problems affecting the hand and fingers, such as advanced Raynaud's phenomenon or fingertip ulcers that haven't responded to other treatment. It is a specialized microsurgical procedure done under magnification.

Rates data updated July 2026.

How much does Nerve Procedure Near The Wrist To Improve Hand Blood Flow cost?

$6,717

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

Insurers have agreed to pay about $6,717 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $6,026 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 3 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$692$661 to $724
Facility feeThe hospital or surgery center$6,026$2,188 to $7,244

How much rates vary

Facilitymedian $6,026 · 10th to 90th $724 to $7,244Professionalmedian $692 · 10th to 90th $631 to $1,318
$1K$2K$5Kfacility $6,026professional $692

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
$6,025.60
Median
$6,025.60
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,202.26

Where Delaware sits

The same service costs 8.1 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

Delaware· 11th of 50

$6,717

$692 physician + $6,026 facility

IN $10,957WV $1,355

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.