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PalinGen or ProMatrX

Ohio 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$3,1620%50%90th$1,202Professionalmedian $1,202 · 10th–90th $288$1,2590%20%10th90th$1,202$20.0$100.0$500.0$2.0K

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
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,754.23
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,348.96
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,754.23
Typical High
$3,890.45
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$346.74
Typical High
$478.63
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,479.11
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,090.30
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,318.26