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Sympathetic Nerve Stripping Around a Forearm Artery

Pennsylvania 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?

$4,598

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

Insurers have agreed to pay about $4,598 for this procedure. That total is two separate charges: $708 to the doctor who performs it, and $3,890 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$708$646 to $891
Facility feeThe hospital or surgery center$3,890$2,188 to $5,370

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,023 to $8,318Professionalmedian $708 · 10th to 90th $603 to $1,148
$1K$2K$5K$10Kfacility $3,890professional $708

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,148.15
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$724.44
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$1,412.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,348.96
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$1,412.54
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,918.31
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,235.94
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$2,570.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$707.95
Typical High
$741.31
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,884.03
Typical High
$4,897.79
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,365.16
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,348.96

Where Pennsylvania sits

The same service costs 8.1 times more in Indiana than in West Virginia. 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

Pennsylvania· 22nd of 50

$4,598

$708 physician + $3,890 facility

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.