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Cutting The Sympathetic Nerve Chain

Massachusetts 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 $2,818 · 10th–90th $1,096$5,6230%10%10th90th$2,818Professionalmedian $1,380 · 10th–90th $955$3,0200%10%10th90th$1,380$100.0$500.0$2.0K$10.0K$50.0K

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
$1,096.48
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$2,818.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,570.40
Typical High
$5,888.44
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,513.56
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,513.56
Typical High
$2,951.21
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,445.44
Typical High
$1,819.70
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,995.26
Typical High
$2,884.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,570.40
Typical High
$5,888.44
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,513.56
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,659.59
Typical High
$3,311.31