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Moving The Pocket Of A Heart Device Generator

Ohio 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?

$1,778

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $3,715 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 8 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$437$347 to $1,000
FacilityA hospital or hospital-owned outpatient department$3,715$2,455 to $7,079

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,349 to $10,715Professionalmedian $437 · 10th to 90th $339 to $4,365
$100$200$500$1K$2K$5K$10Kfacility $3,715professional $437

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
$1,778.28
Median
$4,365.16
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$630.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$5,011.87
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$5,623.41
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,570.40
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$831.76

Where Ohio 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.

Ohio· 6th of 51

$1,778

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.