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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.

Rates data updated July 2026.

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

$2,754

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $4,571 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 7 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$339$275 to $550
FacilityA hospital or hospital-owned outpatient department$4,571$2,951 to $6,761

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,905 to $9,120Professionalmedian $339 · 10th to 90th $240 to $832
$200$500$1K$2K$5K$10Kfacility $4,571professional $339

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
$1,479.11
Median
$4,570.88
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,698.24
Typical High
$1,698.24
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
$3,630.78
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
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

Where New York 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 York· 3rd of 51

$2,754

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.