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Implanting A Defibrillator With Leads Via A Vein

North Carolina 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 July 2026.

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

$14,454

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $14,454 for this service. Most negotiated rates run $4,365 to $34,674.

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 $14,454 · 10th to 90th $1,000 to $47,863
$100.0$1.0K$10.0K$100.0Kfacility $14,454

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
$1,174.90
Median
$14,454.40
Typical High
$47,863.01
Medcost
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,318.26
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$44,668.36
Typical High
$93,325.43
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$138,038.43
Typical High
$138,038.43

Where North Carolina sits

The same service costs 24.5 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.

North Carolina $14,454 · 17th of 51
NM $37,154ND $1,514

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.