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Nerve Graft Reconstruction Of A Damaged Nerve

Utah 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.

Rates data updated July 2026.

Facilitymedian $3,715 · 10th–90th $1,585$9,1200%10%10th90th$3,715Professionalmedian $1,585 · 10th–90th $1,000$6,0260%10%10th90th$1,585$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
$1,584.89
Median
$3,715.35
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$2,454.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,630.27
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
$1,621.81
Median
$2,089.30
Typical High
$3,162.28
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$2,137.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,659.59
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$1,905.46