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
Grayling, MI
See all hospitals reporting HCPCS L8604 →Price type
Munson Healthcare Grayling’s median price of $141 is 96% 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: 2 payers, 3 plan rates. 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 facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 2 | Blue Cross Blue Shield commercial professional · fee schedule · both | $118 | $109 | $63 | 57% | — | $38 – $188 |
| 3 | Aetna commercial professional · fee schedule · both | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Apr 17, 2026
See Prefilled Deflux injectable gel syringe, 1 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.