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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 October 2026.

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

$4,860

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

Insurers have agreed to pay about $4,860 for this procedure. That total is two separate charges: $2,042 to the doctor who performs it, and $2,818 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$2,042$1,549 to $2,399
Facility feeThe hospital or surgery center$2,818$1,445 to $3,020

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,230 to $3,311Professionalmedian $2,042 · 10th to 90th $1,047 to $2,884
$1K$2K$5Kfacility $2,818professional $2,042

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
$1,047.13
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$912.01
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,290.87
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$2,344.23
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$2,398.83
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Midlands
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$2,290.87
Typical High
$3,467.37
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,290.87
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,548.82
Typical High
$2,041.74
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$2,041.74
Typical High
$2,884.03
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,949.84
Typical High
$2,290.87

Where South Dakota sits

The same service costs 5.3 times more in Vermont than in Hawaii. 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

South Dakota· 25th of 51

$4,860

$2,042 physician + $2,818 facility

VT $13,652HI $2,577

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.