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Illinois rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Facilitymedian $1,585 · 10th–90th $1,202$7,0790%20%10th90th$1,585Professionalmedian $1,230 · 10th–90th $1,202$1,4790%50%10th90th$1,230$100.0$500.0$2.0K$10.0K

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
$1,202.26
Median
$1,202.26
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,258.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,715.35
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,344.23
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$2,187.76
Typical High
$2,754.23
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,398.83
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,258.93
Typical High
$1,288.25