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Synthetic Mesh Reinforcement Of The Abdominal Wall

Kentucky rates for HCPCS 0437T

Places a sheet of synthetic mesh to strengthen the tough tissue layer of the abdominal wall. It is performed alongside a primary operation and charged in addition to it. The primary procedure is charged separately.

Rates data updated July 2026.

How much does Synthetic Mesh Reinforcement Of The Abdominal Wall cost?

$257

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $1,318 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$214 to $324
FacilityA hospital or hospital-owned outpatient department$1,318$229 to $3,890

How much rates vary

Facilitymedian $1,318 · 10th to 90th $209 to $8,511Professionalmedian $257 · 10th to 90th $182 to $407
$100$500$2K$10K$50Kfacility $1,318professional $257

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
$208.93
Median
$1,778.28
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$288.40
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$251.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$1,862.09
Typical High
$45,708.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$1,819.70
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$549.54

Where Kentucky sits

The same service costs 6.9 times more in California than in Kentucky. 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.

Kentucky· 51st of 51

$257

CA $1,778KY $257

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.