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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.

Facilitymedian $851 · 10th–90th $724$1,6600%20%10th90th$851Professionalmedian $1,072 · 10th–90th $389$2,5700%20%10th90th$1,072$100.0$200.0$500.0$1.0K$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
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