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Cutting The Sympathetic Nerve Chain

Alaska rates for HCPCS 64809

Surgery that divides or removes part of the sympathetic nerve chain, a string of nerve bundles running alongside the spine that automatically tightens blood vessels and drives sweating. Interrupting it is done for severe circulation problems, long-standing nerve pain, or excessive sweating.

Rates data updated July 2026.

Facilitymedian $1,479 · 10th–90th $1,000$6,9180%10%10th90th$1,479Professionalmedian $2,818 · 10th–90th $776$5,6230%10%20%10th90th$2,818$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$9,772.37
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$3,467.37
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$5,495.41
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,801.89
Typical High
$6,456.54
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$6,165.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$5,495.41
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,479.11
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$2,754.23
Typical High
$6,918.31