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Cutting The Sympathetic Nerve Chain

Florida 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 $8,710 · 10th–90th $1,148$25,7040%10%10th90th$8,710Professionalmedian $1,096 · 10th–90th $724$1,6600%20%10th90th$1,096$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
$1,047.13
Median
$6,025.60
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,548.82
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$6,025.60
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,148.15
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$2,238.72
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$21,877.62
Typical High
$33,884.42
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$851.14
Typical High
$1,258.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$5,011.87
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$2,238.72
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,258.93