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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).
Formulary DC 37 Formulary. Initial Coverage Limit (ICL) â¬$3,700. The Initial Coverage Limit includes the applicable plan deductible.â¬Until covered Medicare. Prescription Drug expenses reach the Initial Coverage Limit (and after the deductible is satisfied), cost-sharing is as follows: 5 Tier Plan. Standard. retail cost-. sharing (in-. network) up.