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Synthetic Mesh Reinforcement Of The Abdominal Wall

New Jersey 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 physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $263 to $603.

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.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $2,512 to $10,715Professionalmedian $324 · 10th to 90th $214 to $708
$50$200$1K$5Kfacility $5,888professional $324

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
$3,311.31
Median
$6,025.60
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$371.54
Typical High
$389.05
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$602.56
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$288.40
Typical High
$602.56

Where New Jersey 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.

New Jersey· 24th 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.