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
Isle, ME
See all hospitals reporting HCPCS L8604 →Price type
The Aroostook Medical Center’s median price of $1.2k is 66% below the median hospital's median price ($3.6k), higher than 22% 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, 4 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 | Anthem commercial professional · fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 2 | Anthem enhanced pathways professional · fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 3 | Aetna commercial professional · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 4 | Aetna mcr advantage professional · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Mar 30, 2026
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