Anal canal bulking agent injection, 1 ml

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Dextranomer-Hyaluronate-NaCl 50-15 mg/mL (4) Syringe gel 1 mL SYRINGE

Payers reporting HCPCS L8605

Payer pricing summary

Low

$291

Average

$1.4k

Median

$1.1k

High

$6.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	422	$1.4k	$1.6k	$1.6k	100%	—	$1 – $22.4k
2	Humana fee schedule · outpatient · +21 other terms	302	$884	$1.3k	$1.4k	107%	—	$1 – $6.8k
3	Aetna fee schedule · outpatient · +21 other terms	299	$894	$1.6k	$1.3k	83%	—	$1 – $15.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	193	$904	$1.6k	$1.9k	122%	—	$1 – $9.5k
5	WellCare fee schedule · outpatient · +10 other terms	185	$913	$941	$143	15%	—	$844 – $1.7k
6	Devoted fee schedule · outpatient · +3 other terms	163	$887	$891	$20	2%	—	$858 – $1.1k
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$904	$903	$31	3%	—	$887 – $1.1k
8	Molina fee schedule · outpatient · +12 other terms	99	$1.1k	$1.2k	$500	41%	—	$1 – $3.4k
9	Anthem fee schedule · outpatient · +15 other terms	92	$887	$1.3k	$730	56%	—	$844 – $6.3k
10	Cigna fee schedule · outpatient · +18 other terms	85	$895	$1.2k	$2.2k	183%	—	$100 – $23.2k
11	Kaiser fee schedule · outpatient · +7 other terms	40	$876	$1.0k	$1.0k	97%	—	$785 – $7.6k
12	Superior Healthplan fee schedule · outpatient	40	$931	$931	$4	0%	—	$869 – $931
13	Clover fee schedule · outpatient · +2 other terms	37	$887	$892	$47	5%	—	$844 – $1.1k
14	Caresource fee schedule · outpatient · +6 other terms	31	$887	$668	$210	31%	—	$1 – $1.1k
15	Optum fee schedule · outpatient · +5 other terms	31	$887	$1.1k	$510	47%	—	$687 – $2.2k
16	Oscar fee schedule · outpatient · +8 other terms	24	$869	$895	$31	3%	—	$869 – $931
17	Bcbs Tx fee schedule · outpatient	18	$869	$869	—	—	—	$869 – $869
18	Medicare fee schedule · outpatient · +4 other terms	18	$858	$861	$7	1%	—	$858 – $876
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$1.1k	$1.1k	$21	2%	—	$1.0k – $1.1k
20	Wellmark fee schedule · both · +1 other terms	13	$774	$771	$21	3%	—	$642 – $774
21	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$1.5k	$1.2k	$287	24%	—	$869 – $1.5k
22	Ambetter case rate · outpatient · +7 other terms	12	$1.3k	$1.3k	$112	9%	—	$1.3k – $1.6k
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$751	$477	$417	87%	—	$0 – $940
24	Bcbs Nj fee schedule · outpatient	12	$1.2k	$1.7k	$992	59%	—	$844 – $3.7k
25	Highmark fee schedule · outpatient · +4 other terms	12	$891	$938	$367	39%	—	$396 – $3.4k

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