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Grafix Core and GrafixPL Core

South Dakota 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 $89$4790%20%40%10th90th$107Professionalmedian $107 · 10th–90th $38$4790%20%10th90th$107$50.0$100.0$200.0$500.0$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
$107.15
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$63.10
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$47.86
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$478.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$89.13
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$107.15
Typical High
$107.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15