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GRAFTJACKET

Mississippi rates for HCPCS Q4107

GRAFTJACKET, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does GRAFTJACKET cost?

$123

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $112 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$120 to $126
FacilityA hospital or hospital-owned outpatient department$112$102 to $141

How much rates vary

Facilitymedian $112 · 10th to 90th $102 to $166Professionalmedian $123 · 10th to 90th $85 to $126
$100$200facility $112professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$120.23
Typical High
$120.23
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$112.20
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$141.25
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$125.89
Typical High
$128.82

Where Mississippi sits

The same service costs 1.8 times more in North Dakota than in Virginia. 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.

Mississippi· 29th of 51

$123

ND $151VA $85.11

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.