go back

Moving The Pocket Of A Heart Device Generator

Virginia 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?

$794

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $3,467 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$490$389 to $1,096
FacilityA hospital or hospital-owned outpatient department$3,467$977 to $5,888

How much rates vary

Facilitymedian $3,467 · 10th to 90th $490 to $7,244Professionalmedian $490 · 10th to 90th $380 to $4,074
$500$1K$2K$5K$10Kfacility $3,467professional $490

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
$489.78
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$436.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,019.95
Typical High
$3,548.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$501.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$831.76
Sentara
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,388.44
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$1,023.29

Where Virginia 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.

Virginia· 20th of 51

$794

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.