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Implantable Urinary Sphincter Prosthesis

Washington, DC rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated October 2026.

How much rates vary

Facilitymedian $2,399 · 10th to 90th $2,399 to $6,026Professionalmedian $2,399 · 10th to 90th $2,399 to $4,898
$5Kfacility $2,399professional $2,399

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$478.63
Median
$478.63
Typical High
$977.24
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$363.08
Median
$363.08
Typical High
$724.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$239.88
Median
$239.88
Typical High
$489.78