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Nerve Graft Reconstruction Of A Damaged Nerve

South Dakota rates for HCPCS 64893

This procedure repairs a damaged nerve by bridging a gap in it with a piece of nerve tissue taken from another site in the patient's body, rather than trying to stretch and rejoin the original nerve ends directly. The graft provides a pathway that the body's own nerve fibers can grow through as healing progresses. It is used after an injury has left too large a gap for the nerve to be reconnected on its own.

Facilitymedian $1,862 · 10th–90th $1,072$4,3650%20%10th90th$1,862Professionalmedian $1,445 · 10th–90th $1,072$2,7540%10%10th90th$1,445$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
$1,071.52
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$3,162.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$2,089.30
Typical High
$8,128.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,511.89
Typical High
$2,511.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,511.89
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,949.84
Typical High
$3,090.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,691.53
Typical High
$2,691.53