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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.

Facilitymedian $257 · 10th–90th $138$1,2880%10%10th90th$257Professionalmedian $214 · 10th–90th $138$4170%10%20%10th90th$214$100.0$200.0$500.0$1.0K$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
$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