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Cutting The Sympathetic Nerve Chain

Wyoming 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 $1,288 · 10th–90th $1,288$3,2360%20%40%90th$1,288Professionalmedian $1,122 · 10th–90th $1,072$4,3650%20%40%10th90th$1,122$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,089.30
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,862.09
Typical High
$3,388.44