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Moving The Pocket Of A Heart Device Generator

Missouri 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?

$759

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $2,512 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$437$355 to $603
FacilityA hospital or hospital-owned outpatient department$2,512$1,585 to $4,571

How much rates vary

Facilitymedian $2,512 · 10th to 90th $1,072 to $5,754Professionalmedian $437 · 10th to 90th $324 to $2,188
$200$500$1K$2K$5Kfacility $2,512professional $437

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
$1,096.48
Median
$3,090.30
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$407.38
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$436.52
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$1,380.38
Typical High
$5,495.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$676.08
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,698.24
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$645.65
Typical High
$1,047.13

Where Missouri 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.

Missouri· 23rd of 51

$759

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.