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Cutting The Sympathetic Nerve Chain

Montana 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 $1,905 · 10th–90th $1,259$1,9950%20%40%10th90th$1,905Professionalmedian $1,413 · 10th–90th $977$2,2910%10%20%10th90th$1,413$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$1,862.09
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,905.46
Typical High
$2,041.74
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,905.46
Typical High
$2,041.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,318.26
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,479.11
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,698.24
Typical High
$2,089.30