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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

Oregon 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 $135$2240%50%10th90th$138Professionalmedian $141 · 10th–90th $126$2880%50%10th90th$141$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$117.49
Median
$117.49
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$194.98
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$323.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$245.47
Typical High
$316.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$138.04
Typical High
$154.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$309.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$257.04
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89