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
Troy, MI
See all hospitals reporting HCPCS L8604 →Price type
William Beaumont Hospital’s median price of $251 is 93% below the median hospital's median price ($3.6k), higher than 12% of the 522 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, 2 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 all commercial plans facility · fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 2 | Blue Cross Blue Shield exchange facility · fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
Last updated: Apr 1, 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.