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PalinGen or PalinGen XPlus

Montana rates for HCPCS Q4173

PalinGen or PalinGen XPlus, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $417 · 10th–90th $347$7410%20%40%10th90th$417Professionalmedian $380 · 10th–90th $126$5370%20%10th90th$380$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$380.19
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$407.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$741.31
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$741.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89