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Surgical Repair Of A Major Arm Or Leg Nerve

Missouri 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?

$4,974

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

Insurers have agreed to pay about $4,974 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $3,715 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,259$1,047 to $1,698
Facility feeThe hospital or surgery center$3,715$2,344 to $5,370

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,479 to $7,762Professionalmedian $1,259 · 10th to 90th $955 to $4,169
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,715professional $1,259

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
$1,096.48
Median
$2,951.21
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,258.93
Typical High
$5,623.41
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,380.38
Typical High
$2,238.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,698.24
Typical High
$16,218.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,621.81
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,235.94
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$2,187.76

Where Missouri 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 feeMissouri $4,974 · 26th 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.