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Cutting The Sympathetic Nerve Chain

Kansas 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 $3,631 · 10th–90th $1,096$9,1200%5%10%10th90th$3,631Professionalmedian $1,349 · 10th–90th $933$1,6980%20%10th90th$1,349$100.0$200.0$500.0$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
$1,318.26
Median
$5,623.41
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,288.25
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,621.81
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,737.80