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Synthetic Mesh Reinforcement Of The Abdominal Wall

Maine 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?

$347

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $347 for this service. Most negotiated rates run $309 to $537.

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.

How much rates vary

Facilitymedian $692 · 10th to 90th $692 to $692Professionalmedian $347 · 10th to 90th $269 to $724
$200$500$1Kfacility $692professional $347

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$707.95
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$794.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$645.65

Where Maine 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.

Maine· 6th of 51

$347

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.