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.
Original text from hospital filings
Dextranomer/hyaluronic acid
Quincy, IL
See all hospitals reporting HCPCS L8604 →Price type
Blessing Hospital’s median price of $124 is 97% below the median hospital's median price ($3.6k), higher than 10% of the 526 hospitals reporting HCPCS L8604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 1 plan rate. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield commercial professional · fee schedule · both | $124 | $124 | — | — | — | $124 – $124 |
Last updated: Jun 8, 2026
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