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Cutting The Sympathetic Nerve Chain

Iowa 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 $5,012 · 10th–90th $1,445$7,9430%10%10th90th$5,012Professionalmedian $1,479 · 10th–90th $933$3,4670%10%10th90th$1,479$100.0$500.0$2.0K$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
$1,479.11
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,148.15
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,344.23
Typical High
$2,951.21
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,445.44
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,137.96
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,698.24
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,290.87
Typical High
$2,754.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,623.41
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,479.11
Typical High
$2,818.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$2,570.40