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Grafix Core and GrafixPL Core

Michigan 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?

$112

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $135 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$112$110 to $126
FacilityA hospital or hospital-owned outpatient department$135$120 to $240

How much rates vary

Facilitymedian $135 · 10th to 90th $112 to $309Professionalmedian $112 · 10th to 90th $107 to $138
$20$50$100$200facility $135professional $112

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
Facility
Modifier
None
Typical Low
$109.65
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$112.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.88
Median
$21.88
Typical High
$22.39
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.96
Median
$10.96
Typical High
$11.22
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$213.80
Typical High
$316.23
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$109.65
Typical High
$141.25
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Priority Health
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan 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.

Michigan· 44th of 51

$112

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.