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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Georgia 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 $501 · 10th–90th $138$6,4570%10%20%10th90th$501Professionalmedian $138 · 10th–90th $132$2690%50%10th90th$138$10.0$50.0$200.0$1.0K$5.0K

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
$138.04
Median
$501.19
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$181.97