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Grafix PRIME, GrafixPL PRIME, Stravix and StravixPL

South Carolina 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 $182 · 10th–90th $138$5370%10%20%10th90th$182Professionalmedian $138 · 10th–90th $126$1510%50%10th90th$138$100.0$200.0$500.0

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
$144.54
Median
$194.98
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$138.04
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$125.89