go back

Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Massachusetts 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 $269 · 10th–90th $138$7080%20%10th90th$269Professionalmedian $138 · 10th–90th $126$2240%50%10th90th$138$100.0$500.0$2.0K$10.0K$50.0K

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
$138.04
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$323.59
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$707.95
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$177.83
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$707.95
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$154.88