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Grafix Core and GrafixPL Core

Arizona rates for HCPCS Q4132

Grafix Core and GrafixPL Core, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does Grafix Core and GrafixPL Core cost?

$117

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $126 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$97.72 to $126
FacilityA hospital or hospital-owned outpatient department$126$54.95 to $191

How much rates vary

Facilitymedian $126 · 10th to 90th $30 to $245Professionalmedian $117 · 10th to 90th $89 to $331
$50$100$200$500$1Kfacility $126professional $117

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$72.44
Typical High
$190.55
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$100.00
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$177.83
Typical High
$263.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$107.15
Typical High
$602.56
Medica
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$1,445.44
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Arizona sits

The same service costs 6.0 times more in Wyoming than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 40th of 51

$117

WY $479MT $79.43

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.