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Nerve Graft Repair, Hand Or Foot

Utah 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 $3,715 · 10th–90th $2,455$7,7620%10%20%10th90th$3,715Professionalmedian $1,549 · 10th–90th $1,047$5,3700%10%10th90th$1,549$50.0$200.0$1.0K$5.0K$20.0K

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
$1,548.82
Median
$3,715.35
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,548.82
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$2,344.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,344.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,589.25
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,041.74
Typical High
$3,548.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,995.26
Typical High
$2,630.27
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,584.89
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,122.02
Typical High
$1,862.09