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Sympathetic Nerve Stripping Around a Forearm Artery

Hawaii 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 October 2026.

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

$3,911

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $3,911 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $3,020 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$120 to $891
Facility feeThe hospital or surgery center$3,020$2,239 to $3,890

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,445 to $3,890Professionalmedian $891 · 10th to 90th $30 to $955
$50$100$200$500$1K$2Kfacility $3,020professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,513.56
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$691.83
Typical High
$891.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$812.83
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$891.25
Typical High
$891.25
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$120.23
Typical High
$954.99

Where Hawaii sits

The same service costs 4.2 times more in Wisconsin than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Hawaii· 17th of 51

$3,911

$891 physician + $3,020 facility

WI $7,667KY $1,824

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.