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Moving The Pocket Of A Heart Device Generator

Michigan 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 $2,884 · 10th–90th $1,622$4,8980%20%10th90th$2,884Professionalmedian $372 · 10th–90th $295$8130%20%10th90th$372$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
$2,884.03
Median
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,698.24
Typical High
$1,698.24
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$2,884.03
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$616.60
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,019.95
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$741.31