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Dextranomer/Hyaluronic Acid Bulking Agent, Anal Canal

Pennsylvania 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?

$1,514

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $1,514 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 8 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$1,514$1,000 to $1,514
FacilityA hospital or hospital-owned outpatient department$1,514$776 to $1,514

How much rates vary

Facilitymedian $1,514 · 10th to 90th $479 to $1,514Professionalmedian $1,514 · 10th to 90th $437 to $1,514
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,514professional $1,514

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
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,513.56
Typical High
$1,513.56
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$478.63
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,621.81
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$851.14
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,513.56
Typical High
$1,513.56
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,698.24
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$891.25

Where Pennsylvania sits

The same service costs 2.0 times more in Washington, DC than in New Hampshire. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $1,514 · 2nd of 51
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.