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Implantable Urinary Sphincter Prosthesis

Michigan rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated July 2026.

How much rates vary

Facilitymedian $8,128 · 10th to 90th $2,399 to $8,128Professionalmedian $2,399 · 10th to 90th $2,399 to $4,898
$2K$5Kfacility $8,128professional $2,399

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
$2,398.83
Median
$8,128.31
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$4,897.79
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$4,897.79