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PolyCyte

Illinois rates for HCPCS Q4241

PolyCyte, for topical use only, per 0.5 cc

Rates data updated October 2026.

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $100Professionalmedian $30 · 10th to 90th $30 to $170
$50$100$200facility $100professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Hally Health
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$158.49
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20