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Implanting A Defibrillator With Leads Via A Vein

Virginia 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?

$8,710

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $8,710 for this service. Most negotiated rates run $1,950 to $31,623.

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 $8,913 · 10th to 90th $1,148 to $69,183Professionalmedian $1,122 · 10th to 90th $759 to $1,445
$1K$2K$5K$10K$20K$50K$100Kfacility $8,913professional $1,122

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. 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
Global
Typical Low
$1,412.54
Median
$8,912.51
Typical High
$57,543.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$141,253.75
Median
$154,881.66
Typical High
$169,824.37
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,122.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$2,137.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,318.26
Typical High
$1,949.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$42,657.95
United
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$77,624.71
Typical High
$138,038.43

Where Virginia sits

The same service costs 24.5 times more in New Mexico than in North Dakota. 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.

Virginia· 28th of 51

$8,710

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.