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PalinGen or PalinGen XPlus

South Dakota 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 $347 · 10th–90th $347$6170%50%90th$347Professionalmedian $355 · 10th–90th $339$9770%20%10th90th$355$100.0$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$489.78
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$812.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$354.81
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$436.52
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74