CPT 64804
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
REMOVE SYMPATHETIC NERVES
Low
$900
Average
$2.7k
Median
$2.3k
High
$9.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 3.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +19 other terms | 426 | $3.1k | $3.4k | $2.0k | 60% | — | $1 – $16.8k |
| 2 | Aetna fee schedule · outpatient · +17 other terms | 414 | $2.2k | $3.5k | $3.8k | 107% | — | $79 – $35.0k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 333 | $3.5k | $4.1k | $2.5k | 60% | — | $1 – $22.1k |
| 4 | Humana fee schedule · outpatient · +18 other terms | 289 | $2.0k | $2.6k | $1.7k | 66% | — | $1.0k – $12.8k |
| 5 | Cigna case rate · outpatient · +15 other terms | 221 | $6.8k | $12.4k | $8.8k | 71% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +11 other terms | 144 | $2.0k | $2.3k | $1.1k | 48% | — | $116 – $10.1k |
| 7 | WellCare fee schedule · outpatient · +8 other terms | 136 | $2.0k | $2.2k | $651 | 30% | — | $219 – $4.6k |
| 8 | Oscar case rate · outpatient · +11 other terms | 130 | $3.7k | $3.2k | $1.4k | 44% | — | $1.4k – $7.5k |
| 9 | Anthem fee schedule · outpatient · +14 other terms | 122 | $2.4k | $3.4k | $3.1k | 92% | — | $854 – $14.5k |
| 10 | Kaiser fee schedule · outpatient · +9 other terms | 94 | $2.5k | $3.3k | $2.3k | 70% | — | $854 – $14.1k |
| 11 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $2.7k | $2.7k | $562 | 21% | — | $2k – $4.3k |
| 12 | Devoted fee schedule · outpatient · +5 other terms | 69 | $2.0k | $1.9k | $287 | 15% | — | $1.2k – $2.2k |
| 13 | Ambetter facility · fee schedule · outpatient · +6 other terms | 56 | $3.3k | $3.5k | $1.1k | 33% | — | $1.7k – $8.6k |
| 14 | Superior Healthplan case rate · outpatient · +3 other terms | 38 | $948 | $1.0k | $345 | 34% | — | $929 – $2.9k |
| 15 | Optum fee schedule · outpatient · +8 other terms | 35 | $1.9k | $2.4k | $1.5k | 62% | — | $1.2k – $7.2k |
| 16 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $2.5k | $2.6k | $1.1k | 42% | — | $1.3k – $7.1k |
| 17 | Caresource facility · fee schedule · outpatient · +9 other terms | 31 | $3.0k | $3.0k | $1.3k | 42% | — | $986 – $8.2k |
| 18 | Clover fee schedule · outpatient · +5 other terms | 31 | $2.1k | $2.2k | $605 | 27% | — | $1.8k – $4.6k |
| 19 | Medica case rate · outpatient · +8 other terms | 28 | $2.4k | $2.3k | $658 | 28% | — | $977 – $3.2k |
| 20 | Tricare fee schedule · outpatient · +9 other terms | 27 | $1.8k | $2.2k | $1.4k | 60% | — | $1.3k – $5.3k |
| 21 | Regence professional · fee schedule · outpatient · +7 other terms | 26 | $936 | $1.5k | $1.1k | 70% | — | $186 – $3.8k |
| 22 | Medicare fee schedule · outpatient · +7 other terms | 24 | $1.2k | $1.4k | $647 | 47% | — | $1.0k – $4.4k |
| 23 | MultiPlan fee schedule · outpatient · +7 other terms | 22 | $3.1k | $3.1k | $127 | 4% | — | $1.8k – $3.1k |
| 24 | Highmark fee schedule · outpatient · +7 other terms | 18 | $2.2k | $2.2k | $1.0k | 47% | — | $535 – $10.1k |
| 25 | First Health fee schedule · outpatient · +11 other terms | 17 | $2.0k | $2.2k | $681 | 30% | — | $1.1k – $4.0k |
← Hospitals reporting CPT 64804 · Snapshot 20261113T090226Z-3ce6c0b8