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Nerve Graft Repair In The Arm Or Leg, Short Gap

New Hampshire 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 $5,623 · 10th–90th $2,399$9,7720%20%10th90th$5,623Professionalmedian $1,549 · 10th–90th $1,096$2,5120%10%20%10th90th$1,549$100.0$500.0$2.0K$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
$100.00
Median
$3,715.35
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$2,818.38
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
$933.25
Median
$1,659.59
Typical High
$3,019.95
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,584.89
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$3,090.30
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$1,258.93