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Pennsylvania 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $281.84 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $501.19 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $389.05 / $1,230.27
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $398.11 / $602.56
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $302.00 / $933.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $295.12 / $1,174.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $316.23 / $316.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $302.00 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $524.81 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $316.23 / $512.86