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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.

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

$145

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $138 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 9 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$145$138 to $151
FacilityA hospital or hospital-owned outpatient department$138$138 to $186

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $295Professionalmedian $145 · 10th to 90th $138 to $178
$200$500$1Kfacility $138professional $145

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
$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

Where New York 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 York· 9th of 51

$145

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.