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PalinGen or ProMatrX

Connecticut rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Rates data updated July 2026.

Facilitymedian $1,445 · 10th–90th $1,259$2,3990%20%10th90th$1,445Professionalmedian $1,259 · 10th–90th $1,148$1,2590%50%10th$1,259$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
$1,258.93
Median
$1,258.93
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,258.93
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,445.44
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$1,258.93
Typical High
$1,348.96