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See a sample rate comparisonHCPCS Q4174 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Palingen or promatrx, 0.36 mg per 0.25 cc
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Skin Substitutes and Biologicals |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for Q4174 |
National average reimbursement for HCPCS Q4174 by major payers:
$1,388.13
$1,304.09
$1,283.67
$996.14
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HCPCS Q4174
5 of 25 sample ratesHigher to lower in this preview
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$5,481.31Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$1,992.64Published rateAlicia Encinas
Miguel A Arenas Md PC
$1,282.34Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$1,282.34Published rateElen Erapuram
Attigo Infusion Inc
$1,282.34Published rate
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See a sample payer proposalHCPCS Q4174 vs. Other Skin Substitutes and Biologicals Codes
The HCPCS Q4174 code is part of the Temporary Codes services used for Skin Substitutes and Biologicals. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q4174 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| Q4173-HCPCS | Moderate | Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure) |
| Q4174-HCPCS | High | Palingen or promatrx, 0.36 mg per 0.25 cc |
| Q4175-HCPCS | Low | Miroderm, per square centimeter (add-on, list separately in addition to primary procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4174. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4174 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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