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North Carolina 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 $331 · 10th–90th $204–$5,4950%20%10th90th$331Professionalmedian $363 · 10th–90th $151–$8130%10%10th90th$363$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $5,248.07 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $275.42 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $501.19 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $489.78 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $389.05 / $1,230.27
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $288.40 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $691.83 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $323.59 / $562.34
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $1,778.28
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $1,778.28