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PalinGen or PalinGen XPlus

Wisconsin 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 $407 · 10th–90th $347$1,0230%20%10th90th$407Professionalmedian $363 · 10th–90th $126$9550%20%10th90th$363$5.0$20.0$100.0$500.0$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
$363.08
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$1,000.00
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$223.87
Typical High
$457.09
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$794.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$794.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$794.33
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$831.76
Quartz
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,023.29
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$1,778.28
Security Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$169.82