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Repair Of A Nerve Injury With A Grafted Segment

Montana rates for HCPCS 64895

A surgeon reconstructs a damaged nerve by inserting a segment of nerve tissue, taken from elsewhere in the body, into the gap left by the injury. This creates a bridge that the body's nerve fibers can slowly regrow across, rather than leaving the nerve ends unconnected. It is used when a nerve injury cannot be repaired by simply reattaching the two cut ends.

Rates data updated July 2026.

Facilitymedian $2,291 · 10th–90th $1,738$2,7540%50%10th90th$2,291Professionalmedian $1,905 · 10th–90th $1,148$3,5480%20%10th90th$1,905$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,778.28
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,862.09
Typical High
$2,290.87
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,290.87
Typical High
$2,754.23
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,290.87
Typical High
$2,754.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$2,630.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,819.70
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,187.76
Typical High
$2,570.40