go back

Nerve Procedure Near The Wrist To Improve Hand Blood Flow

Hawaii 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?

$3,090

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $3,090 for this service. Most negotiated rates run $1,072 to $6,457.

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.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,622 to $5,495Professionalmedian $3,020 · 10th to 90th $692 to $7,586
$50$200$1K$5Kfacility $5,495professional $3,020

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
$1,621.81
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,071.52
HMSA
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,230.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,071.52
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$4,073.80
Typical High
$7,943.28

Where Hawaii sits

The same service costs 4.5 times more in Hawaii than in Delaware. 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.

Hawaii· 1st of 51

$3,090

HI $3,090DE $692

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.