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Moving The Pocket Of A Heart Device Generator

Georgia 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?

$1,202

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $3,631 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 4 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$407 to $437
FacilityA hospital or hospital-owned outpatient department$3,631$1,862 to $5,129

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,148 to $7,413Professionalmedian $427 · 10th to 90th $331 to $692
$500$1K$2K$5K$10Kfacility $3,631professional $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
$1,862.09
Median
$5,011.87
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,019.95
Typical High
$6,918.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$2,884.03
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$691.83
Typical High
$1,096.48

Where Georgia 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.

Georgia· 12th of 51

$1,202

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.