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Nerve Stripping Of The Arterial Arch In The Palm

Delaware rates for HCPCS 64823

Strips the fine sympathetic nerve fibers off the surface of the arterial arch in the palm, the curved vessel that feeds blood out to all the fingers. Those fibers hold the artery clamped down, so removing them lets the vessel relax and open, improving blood supply to the hand. It is used for severely restricted circulation causing pain, cold intolerance or non-healing sores, as in advanced Raynaud's phenomenon or scleroderma.

Rates data updated July 2026.

How much does Nerve Stripping Of The Arterial Arch In The Palm cost?

$776

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $4,074 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$776$724 to $813
FacilityA hospital or hospital-owned outpatient department$4,074$2,188 to $7,244

How much rates vary

Facilitymedian $4,074 · 10th to 90th $851 to $7,244Professionalmedian $776 · 10th to 90th $708 to $1,479
$1K$2K$5Kfacility $4,074professional $776

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
$4,073.80
Median
$4,073.80
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$2,137.96
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
$602.56
Median
$812.83
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$1,348.96

Where Delaware sits

The same service costs 3.1 times more in Wisconsin than in Kentucky. 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.

Delaware· 50th of 51

$776

WI $2,344KY $759

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.