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Virginia rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Facilitymedian $1,259 · 10th–90th $1,230–$2,0890%20%40%10th90th$1,259Professionalmedian $1,259 · 10th–90th $1,202–$1,4790%20%40%10th90th$1,259$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,258.93 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $2,137.96
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,511.89 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,288.25 / $1,445.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,412.54 / $2,041.74
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,479.11 / $1,479.11
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,412.54 / $1,819.70
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,412.54 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,398.83 / $3,090.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,318.26