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Replacing The Lead Of A Cranial Nerve Stimulator

Virginia 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.

How much does Replacing The Lead Of A Cranial Nerve Stimulator cost?

$2,754

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $2,754 for this service. Most negotiated rates run $912 to $7,079.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $776 to $13,804Professionalmedian $1,000 · 10th to 90th $708 to $1,413
$1K$2K$5K$10K$20Kfacility $2,818professional $1,000

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
$851.14
Median
$3,890.45
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$14,791.08
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$912.01
Typical High
$1,071.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$1,778.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,445.44
Sentara
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$12,302.69
Typical High
$27,542.29

Where Virginia sits

The same service costs 44.7 times more in Indiana than in North Dakota. 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.

Virginia· 33rd of 50

$2,754

IN $32,359ND $724

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.