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Moving The Pocket Of A Heart Device Generator

New York 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.

Facilitymedian $4,467 · 10th–90th $2,291$9,7720%5%10%10th90th$4,467Professionalmedian $363 · 10th–90th $234$7410%10%10th90th$363$200.0$1.0K$5.0K$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
$1,905.46
Median
$4,168.69
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,549.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$11,220.18
Typical High
$53,703.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,659.59
Typical High
$1,659.59
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$489.78
Typical High
$691.83
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,467.37
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$549.54
Typical High
$1,288.25
Univera
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Univera
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$331.13
Typical High
$741.31