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Synthetic Mesh Reinforcement Of The Abdominal Wall

Pennsylvania 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?

$309

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $2,692 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 7 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 $324
FacilityA hospital or hospital-owned outpatient department$2,692$1,413 to $5,370

How much rates vary

Facilitymedian $2,692 · 10th to 90th $537 to $8,318Professionalmedian $288 · 10th to 90th $200 to $372
$100$200$500$1K$2K$5K$10Kfacility $2,692professional $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
$660.69
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$501.19
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$707.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$602.56
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$302.00
Typical High
$933.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,398.83
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$1,202.26
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$316.23
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$524.81
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$512.86

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$309

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.