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Pacemaker Upgrade To A Two-Wire System

West Virginia rates for HCPCS 33214

An existing single-wire pacemaker is converted to a two-wire system so the upper and lower chambers of the heart beat in a coordinated way. The old pulse generator is removed, the existing wire is tested, a new wire is placed in the other chamber, and a new generator is connected. It is done through the original pocket under the skin below the collarbone.

Rates data updated July 2026.

How much does Pacemaker Upgrade To A Two-Wire System cost?

$44,668

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $44,668 for this service. Most negotiated rates run $490 to $44,668.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $44,668 · 10th to 90th $490 to $44,668
$500$1K$2K$5K$10K$20K$50Kfacility $44,668

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
$44,668.36
Typical High
$44,668.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$741.31
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$15,488.17
Typical High
$29,512.09

Where West Virginia sits

The same service costs 89.1 times more in West Virginia 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.

West Virginia· 1st of 50

$44,668

WV $44,668ND $501

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.