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Nerve Graft Repair, Hand Or Foot

South Dakota rates for HCPCS 64890

This is a surgery to bridge a gap in a damaged nerve of the hand or foot using a single strand of nerve tissue taken from elsewhere in the body, restoring a path for nerve signals to travel across an injured segment. It applies to a shorter graft, roughly up to an inch and a half in length.

Facilitymedian $1,778 · 10th–90th $1,047$4,3650%20%10th90th$1,778Professionalmedian $1,380 · 10th–90th $1,047$2,6920%20%10th90th$1,380$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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
$870.96
Median
$1,071.52
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$3,090.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$2,818.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,995.26
Typical High
$7,943.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,454.71
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,398.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,905.46
Typical High
$2,951.21
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,570.40
Typical High
$2,570.40