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Moving The Pocket Of A Heart Device Generator

Texas 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?

$1,514

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $2,754 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$407$389 to $537
FacilityA hospital or hospital-owned outpatient department$2,754$1,259 to $4,266

How much rates vary

Facilitymedian $2,754 · 10th to 90th $692 to $6,918Professionalmedian $407 · 10th to 90th $309 to $1,479
$200$500$1K$2K$5K$10Kfacility $2,754professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,884.03
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$2,951.21
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$851.14
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$3,019.95
Typical High
$3,019.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$446.68
Typical High
$851.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,089.30
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$776.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$416.87

Where Texas 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.

Texas· 7th of 51

$1,514

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.