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PalinGen or ProMatrX

Missouri rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Rates data updated July 2026.

Facilitymedian $1,479 · 10th–90th $1,202$2,3990%20%10th90th$1,479Professionalmedian $1,230 · 10th–90th $1,202$1,2590%50%10th90th$1,230$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,202.26
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$1,258.93
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,089.30
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$3,235.94
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,949.84
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,258.93
Typical High
$1,348.96