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Moving The Pocket Of A Heart Device Generator

Massachusetts 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?

$708

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $2,884 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$550$427 to $832
FacilityA hospital or hospital-owned outpatient department$2,884$1,905 to $3,631

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,514 to $5,129Professionalmedian $550 · 10th to 90th $427 to $1,096
$500$1K$2K$5K$10Kfacility $2,884professional $550

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
$1,513.56
Median
$2,818.38
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$489.78
Typical High
$549.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$2,511.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$549.54
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$645.65
Typical High
$1,096.48
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,630.78
Typical High
$8,511.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,630.78
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$758.58
Typical High
$1,584.89

Where Massachusetts 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.

Massachusetts· 26th of 51

$708

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.