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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Arkansas 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 $151 · 10th–90th $151$1700%50%90th$151Professionalmedian $138 · 10th–90th $126$1660%50%10th90th$138$100.0$200.0$500.0

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
$165.96
Median
$165.96
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$162.18