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Moving The Pocket Of A Heart Device Generator

New Jersey 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.

Facilitymedian $6,166 · 10th–90th $3,467$10,7150%10%10th90th$6,166Professionalmedian $457 · 10th–90th $339$5,8880%10%20%10th90th$457$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$4,365.16
Median
$6,456.54
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$6,165.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,888.44
Typical High
$9,120.11
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$5,011.87
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$1,288.25