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Virginia rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Facilitymedian $2,399 · 10th–90th $59$4,8980%50%10th90th$2,399Professionalmedian $2,399 · 10th–90th $2,399$4,8980%50%90th$2,399$0.0$0.2$2.0$20.0$200.0$2.0K

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
$58.88
Median
$2,398.83
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,454.71
Typical High
$4,466.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$1,288.25
Typical High
$4,073.80