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Lumbar Hernia Repair

New Jersey rates for HCPCS 49540

Repairs a hernia in the muscular wall of the flank, in the lower back between the ribs and the hip. The bulging tissue is pushed back into place and the weak spot in the wall is closed and reinforced. Hernias in this location are uncommon and often follow an injury or earlier surgery.

Facilitymedian $6,026 · 10th–90th $4,365$10,9650%10%10th90th$6,026$1.0K$2.0K$5.0K$10.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,025.60
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$19,498.45
Typical High
$29,512.09
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,918.31
Typical High
$11,481.54