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Implanting A Defibrillator With Leads Via A Vein

Vermont 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?

$29,629

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $29,629 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $28,184 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,445$1,202 to $1,660
Facility feeThe hospital or surgery center$28,184$17,783 to $28,184

How much rates vary

Facilitymedian $28,184 · 10th to 90th $3,388 to $28,184Professionalmedian $1,445 · 10th to 90th $1,000 to $2,188
$200$1K$5K$20Kfacility $28,184professional $1,445

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
$28,183.83
Median
$28,183.83
Typical High
$28,183.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,148.15
Typical High
$1,479.11
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$17,782.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$50,118.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$1,479.11
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$3,890.45

Where Vermont sits

The same service costs 19.9 times more in Alaska than in Montana. 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.

Physician feeFacility fee

Vermont· 14th of 51

$29,629

$1,445 physician + $28,184 facility

AK $53,750MT $2,699

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.