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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Iowa 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 $138 · 10th–90th $138$2820%50%90th$138Professionalmedian $174 · 10th–90th $135$2880%20%40%10th90th$174$0.2$1.0$5.0$20.0$100.0$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
$173.78
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$281.84
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$177.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$213.80
Typical High
$309.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$616.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$162.18
Typical High
$194.98
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$288.40
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$138.04