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PalinGen or ProMatrX

Virginia rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Rates data updated July 2026.

Facilitymedian $1,318 · 10th–90th $1,230$2,1380%20%40%10th90th$1,318Professionalmedian $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
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,258.93
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$2,137.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,511.89
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,288.25
Typical High
$1,445.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$2,041.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,479.11
Typical High
$1,479.11
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$1,819.70
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,398.83
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,318.26