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Nerve Graft Repair In The Arm Or Leg, Short Gap

Hawaii rates for HCPCS 64892

This surgery repairs a damaged nerve in the arm or leg by bridging the injured segment with a single strand of nerve tissue taken from elsewhere in the body, restoring a pathway for nerve signals to eventually regrow across the gap. It is used when the ends of a cut or damaged nerve cannot simply be sewn back together directly. This version applies to a shorter gap between the nerve ends.

Rates data updated July 2026.

Facilitymedian $2,818 · 10th–90th $372$3,8900%20%40%10th90th$2,818Professionalmedian $1,995 · 10th–90th $977$5,3700%10%10th90th$1,995$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$371.54
Median
$2,818.38
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$1,584.89
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,698.24
Typical High
$1,905.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,148.15
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$1,584.89
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$2,089.30
Typical High
$5,370.32