go back

Hawaii rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,230.27 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $1,258.93 / $1,258.93
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $346.74 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $1,258.93 / $1,258.93