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The initial ICD implantation costs range from $28,500 to $55,200*, with an annual follow-up cost from $4,800 to $17,000. Most insurance companies will cover these fees. *Systematic Review of ICD Costs and Outcomes (2006, Peter W. Groeneveld, MD, MS).
Lowering the estimated cost of the ICD improved cost-effectiveness. If the cost of the ICD were reduced from $27,975 to $10,000, the incremental cost-effectiveness of ICD therapy would improve from $70,200 to $52,400 per QALY gained in SCD-HeFT and from $34,000 to $27,900 per QALY gained in MUSTT.