L8604 (HCPCS) by state — Price Transparency

HCPCS · across United States

L8604 — Dextranomer/hyaluronic Acid

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$4,362 National median

$2,263 – $7,328 IQR (p25 – p75)

670 hospitals filing

47 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $4,602.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for L8604 (HCPCS), with interquartile range
State	Median	p25	p75
AK	$29,090	$9,360	$41,154
UT	$16,071	$13,111	$21,729
WY	$14,482	$13,252	$14,632
LA	$11,051	$1,989	$12,930
WA	$10,731	$9,654	$10,742
NC	$9,217	$6,425	$10,759
MD	$9,145	$7,353	$12,577
KS	$8,886	$4,802	$12,209
VT	$8,840	$5,525	$9,641
CT	$7,594	$3,174	$8,038
WI	$6,730	$3,813	$7,321
SD	$6,675	$6,675	$7,752
OR	$6,632	$1,415	$8,196
CO	$6,599	$4,316	$8,490
TX	$6,492	$2,391	$14,449
GA	$5,923	$5,096	$8,990
NJ	$5,899	$4,002	$7,952
KY	$5,549	$3,154	$9,451
CA	$5,362	$2,504	$8,884
ID	$5,283	$4,518	$5,672
IN	$4,914	$2,837	$7,410
IL	$4,753	$2,376	$7,262
MN	$4,682	$4,655	$5,413
TN	$4,640	$3,788	$5,681
MO	$4,606	$3,832	$5,538
NV	$4,474	$2,925	$6,819
NH	$4,410	$2,497	$10,444
FL	$4,362	$2,895	$6,543
VA	$4,342	$494	$6,898
MS	$4,249	$3,035	$4,735
RI	$3,977	$3,237	$4,718
PA	$3,960	$2,309	$6,838
OH	$3,860	$2,801	$4,174
ND	$3,461	$0	$6,476
AR	$3,273	$1,986	$4,051
SC	$3,224	$2,375	$7,188
ME	$3,038	$2,818	$3,166
HI	$2,613	$1,262	$3,419
AZ	$2,196	$1,070	$4,579
NY	$2,150	$1,474	$3,186
MA	$1,838	$1,680	$2,917
AL	$1,802	$943	$2,821
WV	$971	$971	$1,093
MI	$193	$15	$2,122
OK	$16	$16	$923
NE	$0	$0	$0
IA	$0	$0	$0

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

AK	$29,090	$9,360	$41,154	$1,233	$52,430	4	28	79
UT	$16,071	$13,111	$21,729	$6,970	$29,518	2 ⚠ thin data	16	24
WY	$14,482	$13,252	$14,632	$2,375	$15,962	2 ⚠ thin data	10	17
LA	$11,051	$1,989	$12,930	$611	$17,682	11	156	1,382
WA	$10,731	$9,654	$10,742	$2,375	$13,983	11	21	366
NC	$9,217	$6,425	$10,759	$483	$33,139	25	71	1,492
MD	$9,145	$7,353	$12,577	$82	$18,487	3	11	52
KS	$8,886	$4,802	$12,209	$8	$19,853	6	32	165
VT	$8,840	$5,525	$9,641	$2,210	$10,878	1 ⚠ thin data	13	19
CT	$7,594	$3,174	$8,038	$2,527	$8,236	2 ⚠ thin data	26	36
WI	$6,730	$3,813	$7,321	$37	$25,014	8	45	300
SD	$6,675	$6,675	$7,752	$1,725	$11,209	3	14	38
OR	$6,632	$1,415	$8,196	$438	$10,872	3	12	19
CO	$6,599	$4,316	$8,490	$363	$24,340	16	86	690
TX	$6,492	$2,391	$14,449	$1	$53,965	52	352	2,161
GA	$5,923	$5,096	$8,990	$940	$24,359	11	63	641
NJ	$5,899	$4,002	$7,952	$14	$80,981	35	227	4,321
KY	$5,549	$3,154	$9,451	$595	$59,442	14	36	652
CA	$5,362	$2,504	$8,884	<$1	$34,195	74	221	2,402
ID	$5,283	$4,518	$5,672	$2,209	$6,673	8	37	290
IN	$4,914	$2,837	$7,410	$134	$7,715	12	40	351
IL	$4,753	$2,376	$7,262	$30	$13,813	15	31	328
MN	$4,682	$4,655	$5,413	$1	$9,000	16	29	615
TN	$4,640	$3,788	$5,681	$58	$8,522	9	12	110
MO	$4,606	$3,832	$5,538	$422	$9,638	6	80	441
NV	$4,474	$2,925	$6,819	$75	$42,681	15	71	433
NH	$4,410	$2,497	$10,444	$11	$16,218	4	23	86
FL	$4,362	$2,895	$6,543	$350	$25,714	44	446	3,952
VA	$4,342	$494	$6,898	$244	$106,734	7	30	189
MS	$4,249	$3,035	$4,735	$1,348	$5,463	4	17	53
RI	$3,977	$3,237	$4,718	$2,497	$5,458	2 ⚠ thin data	1	2
PA	$3,960	$2,309	$6,838	$40	$20,661	38	38	595
OH	$3,860	$2,801	$4,174	$261	$6,261	33	46	1,114
ND	$3,461	<$1	$6,476	<$1	$8,506	7	16	118
AR	$3,273	$1,986	$4,051	$3	$5,402	2 ⚠ thin data	46	70
SC	$3,224	$2,375	$7,188	<$1	$21,979	12	20	120
ME	$3,038	$2,818	$3,166	$2,207	$3,503	1 ⚠ thin data	6	12
HI	$2,613	$1,262	$3,419	$39	$12,456	4	26	68
AZ	$2,196	$1,070	$4,579	$263	$13,433	20	35	656
NY	$2,150	$1,474	$3,186	$9	$26,535	48	151	2,532
MA	$1,838	$1,680	$2,917	$2	$5,252	8	138	640
AL	$1,802	$943	$2,821	$8	$8,568	5	43	128
WV	$971	$971	$1,093	$95	$1,604	3	9	23
MI	$193	$15	$2,122	$1	$9,559	27	160	640
OK	$16	$16	$923	$16	$6,737	10	5	16
NE	<$1	<$1	<$1	<$1	$12,759	18	60	713
IA	<$1	<$1	<$1	<$1	$8,658	8	50	551