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Replacing The Lead Of A Cranial Nerve Stimulator

Iowa rates for HCPCS 64569

Replaces or revises the electrode lead that wraps around a cranial nerve — most often the vagus nerve in the neck — as part of an implanted nerve stimulation system. The site is reopened, the old lead is freed from the nerve, a new one is placed and it is connected to the generator already sitting under the skin. It is done when the lead has broken, moved or stopped delivering therapy.

Rates data updated July 2026.

Facilitymedian $4,467 · 10th–90th $1,072$19,9530%10%10th90th$4,467Professionalmedian $1,479 · 10th–90th $741$3,0900%10%10th90th$1,479$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$4,265.80
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$3,090.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,041.74
Typical High
$30,902.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$14,791.08
Typical High
$29,512.09