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PalinGen or ProMatrX

North Dakota rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Rates data updated July 2026.

Facilitymedian $1,202 · 10th–90th $1,202$1,5850%50%90th$1,202Professionalmedian $1,230 · 10th–90th $977$1,4450%20%40%10th90th$1,230$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
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,122.02
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$1,348.96
Typical High
$2,187.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,412.54