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Moving The Pocket Of A Heart Device Generator

Illinois 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.

Facilitymedian $2,512 · 10th–90th $1,000$7,2440%5%10th90th$2,512Professionalmedian $355 · 10th–90th $219$5500%10%20%10th90th$355$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,511.89
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,951.21
Typical High
$3,548.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,238.72
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$1,000.00