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Sympathetic Nerve Stripping Around a Forearm Artery

Delaware rates for HCPCS 64822

A microsurgical procedure that strips away sympathetic nerve fibers surrounding one of the two main arteries that supply blood to the hand, at the level of the wrist or forearm. Removing these nerve fibers helps reduce excessive artery spasm and improve blood flow to the hand and fingers. It is generally reserved for severe cases of conditions like Raynaud's phenomenon that haven't improved with other treatment.

Rates data updated July 2026.

How much does Sympathetic Nerve Stripping Around a Forearm Artery cost?

$4,766

Typical total for the visit. In Delaware, July 2026.

Insurers have agreed to pay about $4,766 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $4,074 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$692$646 to $724
Facility feeThe hospital or surgery center$4,074$2,188 to $7,244

How much rates vary

Facilitymedian $4,074 · 10th to 90th $741 to $7,244Professionalmedian $692 · 10th to 90th $631 to $1,318
$200.0$500.0$1.0K$2.0K$5.0Kfacility $4,074professional $692

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,202.26

Where Delaware sits

The same service costs 8.1 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeDelaware $4,766 · 20th of 50
IN $10,957WV $1,355

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.