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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Arizona 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 October 2026.

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

$135

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $158 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$126 to $151
FacilityA hospital or hospital-owned outpatient department$158$89.13 to $224

How much rates vary

Facilitymedian $158 · 10th to 90th $49 to $295Professionalmedian $135 · 10th to 90th $107 to $275
$50$100$200$500$1Kfacility $158professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$72.44
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.84
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.88
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.45
Median
$15.14
Typical High
$15.14
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$117.49
Typical High
$309.03
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$100.00
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$177.83
Typical High
$263.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$616.60
Medica
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$1,445.44
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Arizona sits

The same service costs 2.2 times more in Alaska than in North Carolina. 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.

Arizona· 34th of 51

$135

AK $257NC $117

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.