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Nerve Procedure Near The Wrist To Improve Hand Blood Flow

Massachusetts 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.

Facilitymedian $3,388 · 10th–90th $832$6,6070%5%10%10th90th$3,388Professionalmedian $933 · 10th–90th $676$2,0890%10%10th90th$933$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$3,388.44
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$1,905.46
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,623.41
Typical High
$33,884.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,047.13
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,071.52
Typical High
$1,905.46
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$933.25
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$1,288.25
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,248.07
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,258.93
Typical High
$1,995.26
Health New England
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,623.41
Typical High
$33,884.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,047.13
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,248.07
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,148.15
Typical High
$2,137.96