go back

PalinGen or ProMatrX

Washington rates for HCPCS Q4174

PalinGen or ProMatrX, 0.36 mg per 0.25 cc

Rates data updated July 2026.

Facilitymedian $1,259 · 10th–90th $1,230$2,4550%50%10th90th$1,259Professionalmedian $1,259 · 10th–90th $1,202$1,2590%50%10th$1,259$1.0$5.0$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
$1,230.27
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,454.71
Typical High
$2,511.89
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
$0.52
Median
$0.52
Typical High
$0.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,258.93
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,258.93
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93