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Dextranomer/Hyaluronic Acid Bulking Agent, Anal Canal

Montana rates for HCPCS L8605

Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies

Rates data updated July 2026.

How much does Dextranomer/Hyaluronic Acid Bulking Agent, Anal Canal cost?

$933

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $851 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,072$851 to $1,445
FacilityA hospital or hospital-owned outpatient department$851$851 to $1,072

How much rates vary

Facilitymedian $851 · 10th to 90th $724 to $1,660Professionalmedian $1,072 · 10th to 90th $389 to $2,570
$100$200$500$1K$2Kfacility $851professional $1,072

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
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,445.44
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$912.01
Typical High
$912.01
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$1,659.59
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$1,659.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$691.83
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$575.44
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$616.60

Where Montana sits

The same service costs 2.0 times more in Washington, DC than in New Hampshire. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 40th of 51

$933

DC $1,514NH $741

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.