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Moving The Pocket Of A Heart Device Generator

New Mexico 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?

$407

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 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$407$389 to $407
FacilityA hospital or hospital-owned outpatient department$3,236$1,380 to $5,012

How much rates vary

Facilitymedian $3,236 · 10th to 90th $575 to $7,762Professionalmedian $407 · 10th to 90th $389 to $646
$500$1K$2K$5K$10Kfacility $3,236professional $407

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,089.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$407.38
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,073.80
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$676.08
Typical High
$933.25

Where New Mexico 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 Mexico· 44th of 51

$407

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.