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Synthetic Mesh Reinforcement Of The Abdominal Wall

Massachusetts 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?

$339

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $1,905 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 7 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$331$295 to $550
FacilityA hospital or hospital-owned outpatient department$1,905$741 to $2,818

How much rates vary

Facilitymedian $1,905 · 10th to 90th $324 to $3,715Professionalmedian $331 · 10th to 90th $263 to $759
$100$200$500$1K$2K$5Kfacility $1,905professional $331

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
$1,000.00
Median
$2,238.72
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$323.59
Typical High
$407.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,778.28
Typical High
$2,818.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$389.05
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$954.99
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$562.34
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,819.70
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$489.78
Typical High
$724.44
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,778.28
Typical High
$2,818.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,412.54
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$478.63
Typical High
$812.83

Where Massachusetts 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.

Massachusetts· 7th of 51

$339

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.