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Ohio rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Facilitymedian $13,490 · 10th–90th $4,898–$22,9090%10%20%10th90th$13,490Professionalmedian $2,399 · 10th–90th $2,399–$4,8980%50%90th$2,399$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $13,489.63 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $4,897.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10