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Moving The Pocket Of A Heart Device Generator

California rates for HCPCS 0416T

The pocket of skin and tissue holding an implanted cardiac contractility modulation generator is opened and the generator is moved to a new pocket. This is done when the original site causes trouble, such as pain, thinning skin over the device, or a wound problem. The leads stay in place and are reconnected in the new position.

Rates data updated July 2026.

How much does Moving The Pocket Of A Heart Device Generator cost?

$6,457

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $7,413 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$427$380 to $646
FacilityA hospital or hospital-owned outpatient department$7,413$5,012 to $10,471

How much rates vary

Facilitymedian $7,413 · 10th to 90th $2,951 to $15,849Professionalmedian $427 · 10th to 90th $209 to $5,012
$100$500$2K$10Kfacility $7,413professional $427

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
$2,454.71
Median
$6,456.54
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$512.86
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$4,265.80
Typical High
$9,772.37
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,479.11
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,621.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$660.69
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$2,951.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$630.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,365.16
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$1,148.15

Where California sits

The same service costs 21.9 times more in California 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.

California· 1st of 51

$6,457

CA $6,457ND $295

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.