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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Minnesota 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 $257 · 10th–90th $135$4680%10%20%10th90th$257Professionalmedian $126 · 10th–90th $107$1510%50%10th90th$126$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
$138.04
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$251.19
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$154.88
Typical High
$177.83
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$524.81
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$173.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$263.03