# CPT 64408: Injection Aa&/strd Vagus Nerve

Medicare CPT 64408 pays $79.83 in a non-facility setting and $38.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $70.75 in Arkansas to $93.73 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/64408-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $79.83 |
| National facility | $38.75 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $93.73 | $49.98 |
| District of Columbia | $90.78 | $42.38 |
| California | $88.51 | $39.90 |
| New York | $88.29 | $42.46 |
| New Jersey | $87.91 | $41.65 |
| Washington | $87.07 | $40.24 |
| Massachusetts | $86.35 | $40.19 |
| Hawaii | $85.37 | $38.66 |
| Connecticut | $85.07 | $40.83 |
| Florida | $83.48 | $42.26 |
| Colorado | $82.63 | $38.92 |
| Maryland | $82.63 | $39.81 |
| Oregon | $81.78 | $38.50 |
| Rhode Island | $81.60 | $39.16 |
| Illinois | $81.51 | $41.82 |
| New Hampshire | $81.49 | $38.72 |
| Puerto Rico | $80.34 | $38.81 |
| Virgin Islands | $80.34 | $38.81 |
| Montana | $79.82 | $38.74 |
| Nevada | $79.27 | $38.14 |
| Pennsylvania | $79.24 | $39.00 |
| Delaware | $78.96 | $38.37 |
| Texas | $78.90 | $38.45 |
| Wyoming | $78.87 | $37.79 |
| Minnesota | $78.74 | $36.47 |
| Georgia | $78.21 | $39.02 |
| Michigan | $78.17 | $39.59 |
| Virginia | $77.87 | $37.48 |
| Arizona | $77.69 | $37.88 |
| North Dakota | $77.65 | $36.56 |
| Vermont | $77.50 | $36.82 |
| South Dakota | $77.39 | $36.31 |
| Utah | $76.35 | $37.73 |
| New Mexico | $76.27 | $38.60 |
| Maine | $76.16 | $36.89 |
| Missouri | $75.51 | $37.81 |
| Louisiana | $75.50 | $37.99 |
| Ohio | $75.35 | $37.84 |
| South Carolina | $75.34 | $37.38 |
| Wisconsin | $75.11 | $35.75 |
| North Carolina | $75.03 | $36.70 |
| West Virginia | $74.63 | $38.93 |
| Indiana | $74.16 | $36.08 |
| Kentucky | $73.77 | $37.25 |
| Idaho | $73.75 | $35.95 |
| Nebraska | $73.56 | $35.64 |
| Oklahoma | $73.47 | $36.78 |
| Tennessee | $73.42 | $36.07 |
| Iowa | $73.21 | $35.62 |
| Kansas | $73.04 | $35.90 |
| Alabama | $71.76 | $35.81 |
| Mississippi | $71.67 | $36.30 |
| Arkansas | $70.75 | $35.46 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 64408 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules