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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).
However, if the generators were replaced every seven years, the cost-effectiveness of ICD implantation relative to control therapy would improve to between $30,800 and $62,300 per QALY gained (Figure 3B).