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Implantable Urinary Sphincter Prosthesis

Ohio rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Rates data updated October 2026.

How much rates vary

Facilitymedian $8,913 · 10th to 90th $4,898 to $16,218Professionalmedian $4,898 · 10th to 90th $4,898 to $6,166
$5K$10Kfacility $8,913professional $4,898

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$8,912.51
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$977.24
Median
$977.24
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$724.44
Median
$724.44
Typical High
$933.25
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$489.78
Median
$489.78
Typical High
$616.60