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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Kansas 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 $178 · 10th–90th $105$3020%20%10th90th$178Professionalmedian $151 · 10th–90th $126$1950%20%10th90th$151$100.0$200.0$500.0$1.0K

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
$104.71
Median
$162.18
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$186.21
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$389.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83