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Grafix Core and GrafixPL Core

Wisconsin 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 $126 · 10th–90th $91$6030%20%10th90th$126Professionalmedian $126 · 10th–90th $89$8320%20%10th90th$126$5.0$20.0$100.0$500.0$2.0K

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
$109.65
Median
$109.65
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$588.84
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$125.89
Typical High
$316.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$234.42
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$154.88
Network Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$165.96
Typical High
$165.96
Network Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$234.42
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$234.42
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$295.12
Typical High
$758.58
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$1,445.44
Security Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$257.04