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Cutting The Sympathetic Nerve Chain

Arkansas 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 $1,698 · 10th–90th $1,072$2,5120%20%10th90th$1,698Professionalmedian $1,202 · 10th–90th $832$1,5490%20%10th90th$1,202$500.0$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
$1,819.70
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,230.27
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$2,089.30