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Nationwide rates for HCPCS Q4133

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $676.08 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $162.18 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $138.04 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $138.04 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $223.87 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $134.90 / $234.42