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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Mississippi 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?

$126

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $138 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$126$126 to $166
FacilityA hospital or hospital-owned outpatient department$138$126 to $141

How much rates vary

Facilitymedian $138 · 10th to 90th $126 to $166Professionalmedian $126 · 10th to 90th $126 to $166
$100$200facility $138professional $126

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
$144.54
Median
$144.54
Typical High
$165.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$165.96
Typical High
$165.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$70.79
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.18
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.89
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.13
Median
$16.60
Typical High
$16.60
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$147.91
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$194.98
Typical High
$194.98
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$125.89
Typical High
$128.82

Where Mississippi 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.

Mississippi· 49th of 51

$126

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.