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Cutting The Sympathetic Nerve Chain

Missouri 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 $4,266 · 10th–90th $1,479$10,0000%5%10%10th90th$4,266Professionalmedian $1,202 · 10th–90th $912$3,0200%10%10th90th$1,202$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
$1,122.02
Median
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$5,754.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,786.30
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,258.93
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,412.54
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,548.82
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,818.38
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$2,238.72