L8606 Synthetic implnt urinary 1ml

Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for L8606

DMEPOS fee schedule, July 2026 (DME26-C)

Payer policies and prior authorization for L8606

Payer coverage policies that name L8606

L8606 appears in 10 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Centene, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

PayerPolicyRole in policyReviewedDocument
AetnaUrinary Incontinence (0223)covered if criteria are metJul 16, 2026payer document
AetnaVesicoureteral Reflux Treatment by Endoscopic Injection of Bulking Agents (0534)covered if criteria are metJul 30, 2026payer document
Blue Cross & Blue Shield of MississippiInjectable Bulking Agents For The Treatment Of Urinary And Fecal Incontinencecovered if criteria are metpayer document
Blue Cross & Blue Shield of MississippiPeriureteral Bulking Agents As A Treatment Of Vesicoureteral Reflux (A.7.01.102)covered if criteria are metpayer document
Blue Cross & Blue Shield of MississippiProsthetics (L.1.04.401)covered if criteria are metpayer document
Blue Cross & Blue Shield of Rhode IslandInjectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence sadcovered if criteria are metpayer document
Blue Cross & Blue Shield of Rhode IslandInjectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence sad
Urinary Incontinence
listed, no stancepayer document
Blue Cross Blue Shield of MassachusettsInjectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence (471)listed, no stancepayer document
CenteneUrinary Incontinence Devices and Treatments Reference Number: CP.MP.142 (CP.MP.142)covered if criteria are metNov 1, 2025payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence (SUR710.008)listed, no stanceDec 15, 2025payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux (VUR) (SUR710.022)listed, no stanceDec 15, 2025payer document

Medicaid fee-for-service

Prior authorization required or conditional in FL, OH.

  • AZ: $233.53 (dme), effective Oct 1, 2026
  • CO: $208.51 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $224.58 (physician, non-facility), effective Jan 1, 2026
  • IN: $134.32 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2014
  • KY: $0.00 (asc), effective Jan 1, 2026
  • MA: $173.97 (orthotics_prosthetics_rates), effective Apr 1, 2024
  • OH: $214.47 (dme), effective Jan 1, 2026
  • TX: $198.49 (dmepos_tos_9_e_j_l_and_r, Clinic/Group Practice, facility), effective Apr 1, 2010
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $263.88 (physician, facility), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.