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Adding a Left-Side Pacing Wire to a Device

Iowa rates for HCPCS 33224

Places an extra pacing wire into a vein on the outer surface of the left side of the heart and attaches it to a pacemaker or defibrillator that is already implanted. The addition lets the device pace both lower chambers together so a weak heart squeezes in a more coordinated way. The pocket under the skin holding the device is reopened, and the generator itself may be replaced at the same time.

Rates data updated July 2026.

How much does Adding a Left-Side Pacing Wire to a Device cost?

$4,898

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $1,380 to $7,943.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $933 to $22,909Professionalmedian $1,148 · 10th to 90th $479 to $1,445
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,370professional $1,148

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
$933.25
Median
$4,897.79
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$14,454.40
Typical High
$31,622.78
Medica
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,202.26
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$21,379.62
Typical High
$27,542.29

Where Iowa sits

The same service costs 69.2 times more in New Mexico than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $4,898 · 29th of 51
NM $36,308ND $525

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.