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Moving The Pocket Of A Heart Device Generator

Washington, DC 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 October 2026.

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

$1,023

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $1,023 for this service. Most negotiated rates run $468 to $2,138.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $501 to $16,218Professionalmedian $661 · 10th to 90th $380 to $2,089
$500$1K$2K$5K$10K$20Kfacility $2,692professional $661

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$380.19
Median
$3,548.13
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$512.86
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$2,089.30
Typical High
$4,073.80
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$2,511.89
Typical High
$27,542.29
United
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$660.69
Typical High
$1,071.52

Where Washington, DC sits

The same service costs 8.1 times more in Texas than in New York. 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.

Washington, DC· 13th of 51

$1,023

TX $2,291NY $282

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.