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Synthetic Mesh Reinforcement Of The Abdominal Wall

Missouri 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?

$324

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $1,698 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 5 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$288$257 to $347
FacilityA hospital or hospital-owned outpatient department$1,698$550 to $3,548

How much rates vary

Facilitymedian $1,698 · 10th to 90th $263 to $5,623Professionalmedian $288 · 10th to 90th $209 to $525
$200$500$1K$2K$5Kfacility $1,698professional $288

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
$812.83
Median
$2,511.89
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$346.74
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$398.11
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$707.95
Typical High
$1,778.28
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$575.44

Where Missouri 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.

Missouri· 23rd of 51

$324

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.