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Synthetic Mesh Reinforcement Of The Abdominal Wall

Michigan 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?

$288

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $2,042 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$282$269 to $324
FacilityA hospital or hospital-owned outpatient department$2,042$2,042 to $4,898

How much rates vary

Facilitymedian $2,042 · 10th to 90th $275 to $4,898Professionalmedian $282 · 10th to 90th $209 to $380
$100$200$500$1K$2K$5Kfacility $2,042professional $282

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
$275.42
Median
$2,884.03
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$275.42
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$389.05
Typical High
$1,174.90
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$912.01
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$398.11
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$1,202.26
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$354.81
Typical High
$501.19

Where Michigan 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.

Michigan· 42nd of 51

$288

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.