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Surgical Repair Of A Major Arm Or Leg Nerve

Iowa rates for HCPCS 64857

This procedure surgically repairs a major nerve in the arm or leg, other than the sciatic nerve, by stitching the cut or damaged ends back together. It does not include rerouting the nerve to a new position to reduce tension on the repair; that is handled as a separate procedure when needed. It is used after an injury has severed or badly damaged a large nerve, to help restore sensation and movement in the limb.

Rates data updated July 2026.

How much does Surgical Repair Of A Major Arm Or Leg Nerve cost?

$5,110

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

Insurers have agreed to pay about $5,110 for this procedure. That total is two separate charges: $1,479 to the doctor who performs it, and $3,631 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,479$1,047 to $2,399
Facility feeThe hospital or surgery center$3,631$2,291 to $6,761

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,380 to $10,000Professionalmedian $1,479 · 10th to 90th $955 to $3,467
$100.0$500.0$2.0K$10.0Kfacility $3,631professional $1,479

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
$870.96
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$2,951.21
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,818.38
Typical High
$15,848.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,041.74
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,398.83
Typical High
$3,467.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,089.30
Typical High
$2,884.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,737.80
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,943.28
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,513.56
Typical High
$3,019.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,905.46
Typical High
$2,238.72

Where Iowa sits

The same service costs 6.8 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeIowa $5,110 · 23rd of 50
IN $13,954WV $2,049

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.