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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Alaska 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.

How much does Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL cost?

$219

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $257 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$141 to $309
FacilityA hospital or hospital-owned outpatient department$257$158 to $457

How much rates vary

Facilitymedian $257 · 10th to 90th $138 to $1,288Professionalmedian $214 · 10th to 90th $138 to $417
$200$500$1K$2Kfacility $257professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,288.25
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$338.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$398.11
Typical High
$616.60
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$338.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$380.19

Where Alaska sits

The same service costs 1.7 times more in Alaska than in Minnesota. 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.

Alaska· 1st of 51

$219

AK $219MN $126

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.