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PalinGen or ProMatrX

Michigan 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?

$1,202

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $1,585 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$1,202$1,202 to $1,349
FacilityA hospital or hospital-owned outpatient department$1,585$1,202 to $4,571

How much rates vary

Facilitymedian $1,585 · 10th to 90th $1,202 to $5,012Professionalmedian $1,202 · 10th to 90th $120 to $1,995
$200$500$1K$2K$5Kfacility $1,585professional $1,202

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
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,348.96
Typical High
$1,348.96
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,584.89
Typical High
$5,011.87
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$2,238.72
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Priority Health
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,348.96
Typical High
$1,348.96
United
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,318.26

Where Michigan 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.

Michigan· 46th of 51

$1,202

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.