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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 October 2026.

How much does Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL cost?

$178

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $191 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$126 to $186
FacilityA hospital or hospital-owned outpatient department$191$178 to $191

How much rates vary

Facilitymedian $191 · 10th to 90th $178 to $269Professionalmedian $138 · 10th to 90th $126 to $282
$200$500$1Kfacility $191professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$190.55
Typical High
$281.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$69.18
Median
$93.33
Typical High
$141.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$38.02
Typical High
$56.23
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$28.18
Typical High
$42.66
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.80
Median
$19.05
Typical High
$28.18
BCBS Kansas
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$190.55
Typical High
$190.55
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$194.98
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$269.15
Typical High
$616.60
Medica
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$1,445.44
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Kansas sits

The same service costs 2.2 times more in Alaska than in North Carolina. 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.

Kansas· 3rd of 51

$178

AK $257NC $117

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.