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Repair of Returned Abdominal Wall Hernia

Kentucky rates for HCPCS 49565

Open surgery to repair a hernia in the abdominal wall that has come back after an earlier repair, when the bulging tissue can still be pushed back inside. The surgeon opens the old site, clears the scar tissue, returns the contents to the abdomen, and closes the defect in the wall.

Facilitymedian $4,074 · 10th–90th $2,570$9,5500%10%10th90th$4,074Professionalmedian $724 · 10th–90th $513$1,2020%20%10th90th$724$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,073.80
Typical High
$9,549.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$1,202.26