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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 October 2026.

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

$912

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $1,122 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$891$389 to $912
FacilityA hospital or hospital-owned outpatient department$1,122$891 to $51,286

How much rates vary

Facilitymedian $1,122 · 10th to 90th $813 to $52,481Professionalmedian $891 · 10th to 90th $79 to $1,122
$100$500$2K$10K$50Kfacility $1,122professional $891

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
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,445.44
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$912.01
Typical High
$912.01
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,737.80
Typical High
$54,954.09
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$977.24
Typical High
$54,954.09
Providence
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$912.01
Typical High
$912.01
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$691.83
Typical High
$912.01
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$389.05
Typical High
$645.65

Where Montana sits

The same service costs 3.2 times more in Michigan than in Ohio. 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· 5th of 51

$912

MI $1,413OH $447

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.