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Virginia 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 $457 · 10th–90th $282–$5,8880%10%10th90th$457Professionalmedian $295 · 10th–90th $209–$4570%10%10th90th$295$50.0$200.0$1.0K$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
$302.00 / $3,235.94 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $295.12 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $407.38
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $309.03 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $489.78 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $389.05 / $1,230.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $199.53
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $316.23 / $478.63
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $363.08 / $1,047.13
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $363.08 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $812.83 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $346.74 / $537.03