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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.

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

$692

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $6,166 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$457$380 to $676
FacilityA hospital or hospital-owned outpatient department$6,166$4,677 to $8,511

How much rates vary

Facilitymedian $6,166 · 10th to 90th $3,467 to $10,715Professionalmedian $457 · 10th to 90th $339 to $5,888
$200$500$1K$2K$5K$10Kfacility $6,166professional $457

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
$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

Where New Jersey 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.

New Jersey· 27th of 51

$692

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.