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Cutting The Sympathetic Nerve Chain

Nevada 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 $4,365 · 10th–90th $1,122$10,2330%10%20%10th90th$4,365Professionalmedian $1,122 · 10th–90th $851$2,1880%20%10th90th$1,122$20.0$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
$2,137.96
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$5,754.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,230.27
Typical High
$1,995.26
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$933.25
Typical High
$1,659.59
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,071.52
Select Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,862.09
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$1,905.46