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PalinGen or ProMatrX

Alaska rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Rates data updated October 2026.

How much does PalinGen or ProMatrX cost?

$1,995

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $2,089 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,995$1,738 to $1,995
FacilityA hospital or hospital-owned outpatient department$2,089$1,995 to $2,884

How much rates vary

Facilitymedian $2,089 · 10th to 90th $1,995 to $3,020Professionalmedian $1,995 · 10th to 90th $1,259 to $1,995
$100$200$500$1K$2Kfacility $2,089professional $1,995

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$616.60
Median
$1,000.00
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$245.47
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$186.21
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$123.03
Median
$199.53
Typical High
$199.53
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Moda Health
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$1,995.26
Typical High
$2,884.03
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,995.26
Typical High
$1,995.26
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,398.83
Typical High
$3,311.31
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,479.11
Typical High
$1,778.28
Providence
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,884.03
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$1,258.93
Typical High
$1,659.59
United
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,862.09
Typical High
$3,388.44

Where Alaska sits

The same service costs 6.9 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 1st of 51

$1,995

AK $1,995KY $288

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.