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Pacemaker Generator Replacement, Single Lead

California rates for HCPCS 33227

Replaces the pacemaker's pulse generator, the small battery-powered unit that sits under the skin near the collarbone, when its battery is running down. The old unit is taken out through the original scar and a new one is connected to the wire already running to the heart. This version covers a system that uses one wire.

Rates data updated July 2026.

Facilitymedian $6,310 · 10th–90th $3,388$14,4540%10%10th90th$6,310Professionalmedian $355 · 10th–90th $275$7760%20%10th90th$355$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,244.36
Typical High
$20,892.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,025.60
Typical High
$13,803.84
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$4,466.84
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$12,022.64
Typical High
$25,703.96
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$8,912.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$776.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$36,307.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$16,982.44
Typical High
$38,904.51