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Alaska rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Facilitymedian $1,660 · 10th–90th $288–$2,8180%10%10th90th$1,660Professionalmedian $1,230 · 10th–90th $1,202–$1,4790%20%40%10th90th$1,230$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,230.27 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $1,479.11 / $2,238.72
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,258.93 / $1,995.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $3,311.31
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,659.59 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $1,479.11 / $2,238.72
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,258.93 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,258.93 / $3,162.28