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HCPCS Details
| HCPC | Q4174 |
| Short Description | Palingen or promatrx |
| Long Description | Palingen or promatrx, 0.36 mg per 0.25 cc |
| Pricing indicator | 51 |
| Coverage code | C |
| ASC payment group code | |
| BETOS2 code | O1E |
| Action code | N |
| Type of service | 1 |
| Effective date | 2017-01-01 |
| Date Added | 2017-01-01 |