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Limb Bone Shortening To Allow A Nerve Repair

South Dakota rates for HCPCS 64876

Extra work done during the repair of a cut nerve when the two ends will not reach each other. A segment of the arm or leg bone is removed so the limb is slightly shortened, which brings the nerve ends together to be stitched without tension, and the bone is then fixed in its new position while it heals. It is billed in addition to the main nerve repair rather than on its own.

Rates data updated July 2026.

How much does Limb Bone Shortening To Allow A Nerve Repair cost?

$339

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $372 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 7 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$331$195 to $437
FacilityA hospital or hospital-owned outpatient department$372$295 to $3,548

How much rates vary

Facilitymedian $372 · 10th to 90th $224 to $4,365Professionalmedian $331 · 10th to 90th $155 to $537
$200$500$1K$2Kfacility $372professional $331

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
$194.98
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$346.74
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$389.05
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$512.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$346.74
Typical High
$407.38

Where South Dakota sits

The same service costs 25.7 times more in California than in Delaware. 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.

South Dakota· 12th of 51

$339

CA $4,898DE $191

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.