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Cutting The Sympathetic Nerve Chain

North Dakota 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 $1,023 · 10th–90th $1,000$8,5110%50%10th90th$1,023Professionalmedian $2,138 · 10th–90th $851$2,8180%10%10th90th$2,138$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
$1,000.00
Median
$1,023.29
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,949.84
Typical High
$3,162.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,659.59
Typical High
$2,570.40