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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.

Rates data updated July 2026.

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

$513

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $3,236 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$372$339 to $724
FacilityA hospital or hospital-owned outpatient department$3,236$2,884 to $4,898

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,072 to $5,495Professionalmedian $372 · 10th to 90th $275 to $1,950
$200$500$1K$2K$5Kfacility $3,236professional $372

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
$346.74
Median
$4,073.80
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$1,949.84
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
$346.74
Median
$478.63
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,235.94
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$741.31

Where Michigan 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.

Michigan· 33rd of 51

$513

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.