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Nerve Graft Repair In The Arm Or Leg, Short Gap

Washington 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 $2,570 · 10th–90th $1,288$20,4170%10%10th90th$2,570Professionalmedian $1,585 · 10th–90th $955$2,9510%20%10th90th$1,585$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$1,318.26
Median
$3,981.07
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$2,884.03
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$20,417.38
Typical High
$36,307.81
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,089.30
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$10,964.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$3,162.28
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,137.96
Typical High
$15,488.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,995.26
Typical High
$11,481.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,041.74
Typical High
$2,137.96
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,445.44
Typical High
$2,691.53
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,089.30
Typical High
$2,754.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$19,054.61
Typical High
$36,307.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,089.30
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$25,703.96
Typical High
$50,118.72
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$2,951.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,949.84