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Repair Of A Nerve Injury With A Grafted Segment

Utah 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 $5,888 · 10th–90th $1,905$10,2330%10%10th90th$5,888Professionalmedian $1,905 · 10th–90th $1,202$7,0790%10%10th90th$1,905$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
$1,905.46
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,905.46
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$2,884.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,884.03
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
$1,949.84
Median
$2,454.71
Typical High
$3,801.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,137.96
Typical High
$2,511.89
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,949.84
Typical High
$2,951.21
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
$1,122.02
Median
$1,380.38
Typical High
$2,290.87