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Cutting The Sympathetic Nerve Chain

Louisiana 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 $2,570 · 10th–90th $891$4,3650%20%10th90th$2,570Professionalmedian $1,318 · 10th–90th $891$2,1880%20%10th90th$1,318$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$933.25
Median
$2,691.53
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,951.21
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,513.56
Typical High
$1,862.09
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,348.96
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$2,187.76