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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Kentucky 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 $162 · 10th–90th $151$1620%50%10th$162Professionalmedian $138 · 10th–90th $132$1510%50%10th90th$138$20.0$50.0$100.0$200.0$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
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$147.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$162.18
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$147.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$223.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$147.91
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90