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Cutting The Sympathetic Nerve Chain

Nebraska 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 $7,943 · 10th–90th $1,622$14,4540%10%20%10th90th$7,943Professionalmedian $1,698 · 10th–90th $933$5,7540%10%20%10th90th$1,698$1.0K$2.0K$5.0K$10.0K$20.0K

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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,698.24
Typical High
$5,754.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$8,912.51
Typical High
$17,378.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,548.82
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,290.87
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,698.24
Typical High
$13,803.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,548.82
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,238.72
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,388.44
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,995.26
Typical High
$2,570.40