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Cutting The Sympathetic Nerve Chain

Oklahoma 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 $8,318 · 10th–90th $1,000$18,6210%5%10th90th$8,318Professionalmedian $977 · 10th–90th $871$1,6600%20%40%10th90th$977$100.0$500.0$2.0K$10.0K$50.0K

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
$954.99
Median
$1,513.56
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$977.24
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$12,589.25
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,174.90
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,318.26
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,995.26
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,479.11