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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Connecticut 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 $229 · 10th–90th $145$1,0000%20%40%10th90th$229Professionalmedian $138 · 10th–90th $132$1700%50%10th90th$138$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
$144.54
Median
$588.84
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$162.18