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Nerve Graft Repair In The Arm Or Leg, Short Gap

Utah 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 $3,715 · 10th–90th $1,479$9,1200%10%10th90th$3,715Professionalmedian $1,479 · 10th–90th $977$5,6230%10%20%10th90th$1,479$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
$1,479.11
Median
$3,715.35
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,479.11
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,445.44
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,454.71
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,882.50
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$2,951.21
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,698.24
Typical High
$1,995.26
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$2,344.23
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
$912.01
Median
$1,122.02
Typical High
$1,778.28