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Grafix Core and GrafixPL Core

Iowa rates for HCPCS Q4132

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

Rates data updated July 2026.

Facilitymedian $107 · 10th–90th $107$5620%50%90th$107Professionalmedian $126 · 10th–90th $91$5620%20%10th90th$126$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$562.34
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$177.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$275.42
Typical High
$562.34
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$147.91
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$107.15
Typical High
$457.09
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$107.15