HCPCS Q4174
Palingen or promatrx, 0.36 mg per 0.25 cc
Current codeSkin Substitute Products11 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Kadlec Regional Medical Center | $4,325 – $5,478 | — | — |
| Legacy Salmon Creek Medical Center | $3,243 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,362 – $2,514 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,469 | — | — |
| Providence Centralia Hospital | $4,325 – $5,478 | — | — |
| Providence Holy Family Hospital | $1,469 | — | — |
| Providence Regional Medical Center Everett | $1,469 | — | — |
| Swedish Edmonds Hospital | $1,469 | — | — |
| Swedish Issaquah | $1,469 | — | — |
| Swedish Medical Center | $1,469 | — | — |
| Swedish Medical Center / Cherry Hill | $1,469 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.