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Cutting The Sympathetic Nerve Chain

Washington, DC 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 $2,138 · 10th–90th $1,148$7,7620%10%20%10th90th$2,138Professionalmedian $1,148 · 10th–90th $1,096$1,5140%20%40%10th90th$1,148$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
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,148.15
Typical High
$1,513.56
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$2,884.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,290.87
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,041.74
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,479.11
Typical High
$2,951.21