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Nerve Procedure Near The Wrist To Improve Hand Blood Flow

Wyoming 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 October 2026.

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

$5,166

Typical total for the visit. In Wyoming, October 2026.

Insurers have agreed to pay about $5,166 for this procedure. That total is two separate charges: $1,698 to the doctor who performs it, and $3,467 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,698$1,413 to $2,291
Facility feeThe hospital or surgery center$3,467$3,467 to $4,074

How much rates vary

Facilitymedian $3,467 · 10th to 90th $3,388 to $4,266Professionalmedian $1,698 · 10th to 90th $933 to $2,754
$1K$2K$5K$10Kfacility $3,467professional $1,698

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$691.83
Typical High
$1,659.59
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$2,290.87
Typical High
$2,754.23
BCBS Wyoming
Setting
Professional
Modifier
50 · Both sides
Typical Low
$2,137.96
Median
$3,467.37
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$3,890.45
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,621.81
United
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$4,168.69
Typical High
$14,125.38
United
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,318.26
Typical High
$2,344.23

Where Wyoming sits

The same service costs 3.4 times more in Wisconsin than in Montana. 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

Wyoming· 8th of 51

$5,166

$1,698 physician + $3,467 facility

WI $7,667MT $2,245

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.