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Implanting A Defibrillator With Leads Via A Vein

South Dakota 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?

$1,738

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,738 for this service. Most negotiated rates run $1,479 to $50,119.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $50,119 · 10th to 90th $1,660 to $50,119Professionalmedian $1,585 · 10th to 90th $1,175 to $1,820
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $50,119professional $1,585

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
$6,918.31
Median
$50,118.72
Typical High
$50,118.72
Avera
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,737.80
Typical High
$52,480.75
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,041.74
Typical High
$2,041.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$64,565.42

Where South Dakota 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.

South Dakota $1,738 · 49th 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.