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Cutting The Sympathetic Nerve Chain

Indiana 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 $15,849 · 10th–90th $2,399$27,5420%10%10th90th$15,849Professionalmedian $1,096 · 10th–90th $912$1,7380%20%10th90th$1,096$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$1,380.38
Median
$3,467.37
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,000.00
Typical High
$1,479.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$18,620.87
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$1,778.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$6,025.60
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,819.70