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Implantable Urinary Sphincter Prosthesis

New York rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated July 2026.

Facilitymedian $8,511 · 10th–90th $2,399$64,5650%20%10th90th$8,511Professionalmedian $2,399 · 10th–90th $0$3,2360%50%10th90th$2,399$0.0$0.2$2.0$20.0$200.0$2.0K$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
$2,398.83
Median
$8,511.38
Typical High
$64,565.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$3,467.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$16,982.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$38,018.94