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North Dakota 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 $380 · 10th–90th $269–$8,5110%20%10th90th$380Professionalmedian $295 · 10th–90th $209–$3800%20%10th90th$295$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$269.15 / $380.19 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $295.12 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $389.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $323.59 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $457.09 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $1,819.70 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $338.84 / $549.54