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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

New York 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 $138 · 10th–90th $138$2950%50%90th$138Professionalmedian $145 · 10th–90th $138$1780%50%10th90th$145$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$208.93
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$141.25
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$239.88
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$144.54
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$144.54
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$147.91
Typical High
$173.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$154.88
Univera
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$144.54