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Nerve Graft Repair Using Donor Nerve Tissue

Pennsylvania rates for HCPCS 64891

When a nerve has been cut or damaged badly enough that its ends cannot simply be sewn back together, a surgeon can bridge the gap using a short segment of nerve tissue taken from elsewhere in the patient's own body. This graft acts as a scaffold that allows the injured nerve fibers to regrow across the gap over time. It is a reconstructive procedure used after significant nerve injuries, not a same-day fix, since nerve regrowth happens gradually.

Rates data updated July 2026.

How much does Nerve Graft Repair Using Donor Nerve Tissue cost?

$1,318

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $3,890 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 9 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$1,175$1,047 to $1,445
FacilityA hospital or hospital-owned outpatient department$3,890$2,188 to $5,754

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,122 to $8,318Professionalmedian $1,175 · 10th to 90th $977 to $1,905
$1K$2K$5K$10Kfacility $3,890professional $1,175

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,862.09
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,380.38
Typical High
$2,290.87
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,659.59
Typical High
$2,137.96
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$1,905.46
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,235.94
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$2,570.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$1,148.15
Typical High
$1,202.26
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,698.24
Typical High
$2,951.21
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,122.02
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$2,238.72

Where Pennsylvania sits

The same service costs 3.8 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.

Pennsylvania· 43rd of 51

$1,318

CA $4,266DE $1,122

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.