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Implanting A Defibrillator With Leads Via A Vein

Washington 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?

$16,982

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $16,982 for this service. Most negotiated rates run $2,239 to $70,795.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16,982 · 10th to 90th $1,479 to $112,202
$1.0K$5.0K$20.0K$100.0Kfacility $16,982

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
$1,548.82
Median
$16,982.44
Typical High
$93,325.43
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$102,329.30
Typical High
$181,970.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$50,118.72
Typical High
$50,118.72
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,238.72
Typical High
$147,910.84
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,698.24
Typical High
$1,819.70
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$95,499.26
Typical High
$177,827.94
United
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$97,723.72
Typical High
$177,827.94

Where Washington 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.

Washington $16,982 · 12th 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.