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Moving The Pocket Of A Heart Device Generator

North Carolina 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?

$427

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $3,467 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 5 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$372 to $724
FacilityA hospital or hospital-owned outpatient department$3,467$933 to $6,761

How much rates vary

Facilitymedian $3,467 · 10th to 90th $372 to $7,586Professionalmedian $372 · 10th to 90th $76 to $1,202
$100$200$500$1K$2K$5K$10Kfacility $3,467professional $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
$371.54
Median
$5,011.87
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$691.83
Typical High
$1,202.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$1,023.29
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$2,951.21

Where North Carolina 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.

North Carolina· 40th of 51

$427

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.