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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Florida 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?

$138

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $240 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 7 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$138$138 to $141
FacilityA hospital or hospital-owned outpatient department$240$138 to $1,950

How much rates vary

Facilitymedian $240 · 10th to 90th $138 to $112,202Professionalmedian $138 · 10th to 90th $126 to $155
$100$1K$10K$100Kfacility $240professional $138

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
$138.04
Median
$229.09
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$151.36
AvMed
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$239.88
AvMed
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$102,329.30
Typical High
$208,929.61
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$147.91
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$151.36

Where Florida 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.

Florida· 42nd of 51

$138

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.