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Moving The Pocket Of A Heart Device Generator

Colorado 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?

$3,802

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $5,495 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 6 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$398$347 to $575
FacilityA hospital or hospital-owned outpatient department$5,495$3,548 to $7,762

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,738 to $10,000Professionalmedian $398 · 10th to 90th $347 to $1,230
$500$1K$2K$5K$10Kfacility $5,495professional $398

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
$1,584.89
Median
$5,128.61
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$6,025.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$6,760.83
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$512.86
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$645.65
Select Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$660.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,715.35
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,148.15

Where Colorado 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.

Colorado· 2nd of 51

$3,802

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.