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Maine rates for HCPCS 0437T

Implantation of non-biologic or synthetic implant (eg, polypropylene) for fascial reinforcement of the abdominal wall (List separately in addition to code for primary procedure)

Facilitymedian $692 · 10th–90th $692–$6920%50%100%$692Professionalmedian $324 · 10th–90th $245–$7080%20%10th90th$324$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $295.12 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $245.47 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $389.05 / $1,230.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $457.09 / $794.33
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $295.12 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $380.19 / $645.65