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Implanting A Defibrillator With Leads Via A Vein

Wyoming 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?

$37,826

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

Insurers have agreed to pay about $37,826 for this procedure. That total is two separate charges: $2,344 to the doctor who performs it, and $35,481 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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$2,344$2,089 to $2,818
Facility feeThe hospital or surgery center$35,481$35,481 to $47,863

How much rates vary

Facilitymedian $35,481 · 10th to 90th $18,197 to $50,119Professionalmedian $2,344 · 10th to 90th $1,479 to $2,818
$1K$2K$5K$10K$20K$50K$100Kfacility $35,481professional $2,344

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
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,000.00
BCBS Wyoming
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$35,481.34
Typical High
$35,481.34
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,344.23
Typical High
$2,818.38
BCBS Wyoming
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$1,230.27
Median
$1,412.54
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$50,118.72
Typical High
$50,118.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,513.56
Typical High
$2,137.96
United
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$19,054.61
Typical High
$91,201.08
United
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,737.80
Typical High
$3,548.13

Where Wyoming 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

Wyoming· 3rd of 51

$37,826

$2,344 physician + $35,481 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.