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Surgical Repair Of A Major Arm Or Leg Nerve

South Dakota 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?

$3,639

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $3,639 for this procedure. That total is two separate charges: $1,820 to the doctor who performs it, and $1,820 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,820$1,047 to $2,399
Facility feeThe hospital or surgery center$1,820$1,514 to $3,090

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,230 to $4,365Professionalmedian $1,820 · 10th to 90th $851 to $2,951
$1.0K$2.0K$5.0Kfacility $1,820professional $1,820

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
$1,047.13
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,398.83
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,905.46
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,398.83
Typical High
$2,398.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,290.87
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,778.28
Typical High
$2,884.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,949.84
Typical High
$2,290.87

Where South Dakota 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 feeSouth Dakota $3,639 · 40th 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.