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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

New Jersey 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.

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

$138

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $389 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$135 to $141
FacilityA hospital or hospital-owned outpatient department$389$158 to $9,550

How much rates vary

Facilitymedian $389 · 10th to 90th $138 to $21,380Professionalmedian $138 · 10th to 90th $126 to $151
$200$1K$5K$20K$100Kfacility $389professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$151.36
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$24,547.09
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$239.88
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$9,549.93
Typical High
$21,379.62
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$154.88

Where New Jersey sits

The same service costs 1.7 times more in Alaska than in Minnesota. 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.

New Jersey· 33rd of 51

$138

AK $219MN $126

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.