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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Nationwide rates for HCPCS Q4133

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

Rates data updated July 2026.

Facilitymedian $166 · 10th–90th $135$6170%20%10th90th$166Professionalmedian $138 · 10th–90th $126$2090%50%10th90th$138$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
$138.04
Median
$218.78
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$162.18
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$154.88