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Dextranomer/Hyaluronic Acid Bulking Agent, Anal Canal

Wisconsin 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 $977 · 10th–90th $891$1,6220%50%10th90th$977Professionalmedian $1,413 · 10th–90th $427$1,7780%20%40%10th90th$1,413$1.0$5.0$20.0$100.0$500.0$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
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,318.26
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$2,754.23
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,258.93
Typical High
$1,659.59
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,412.54
Typical High
$2,089.30
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$870.96
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,513.56
Typical High
$4,073.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$549.54
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Network Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$2,137.96
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,412.54
Typical High
$2,089.30
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$870.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,318.26
Typical High
$2,290.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,778.28
Typical High
$4,073.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,318.26
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$794.33