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Implanting A Defibrillator With Leads Via A Vein

Hawaii rates for HCPCS 33249

Puts in, or replaces, an implantable defibrillator — a device that watches the heart rhythm and delivers pacing or a shock if a dangerous fast rhythm starts. One or two leads are threaded through a vein under the collarbone into the heart and connected to a generator placed in a pocket under the skin. It covers both a first implant and a full system replacement.

Rates data updated October 2026.

How much does Implanting A Defibrillator With Leads Via A Vein cost?

$1,072

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $1,072 for this service. Most negotiated rates run $851 to $1,230.

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 $8,511 · 10th to 90th $2,818 to $53,703Professionalmedian $1,072 · 10th to 90th $30 to $12,589
$100$1K$10Kfacility $8,511professional $1,072

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$933.25
Typical High
$1,513.56
United
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$7,585.78
Typical High
$53,703.18
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,318.26
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$1,230.27
Typical High
$14,125.38

Where Hawaii sits

The same service costs 12.9 times more in Louisiana than in Texas. 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.

Hawaii· 47th of 51

$1,072

LA $11,482TX $891

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.