go back

GRAFTJACKET

Nevada 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?

$100

Typical negotiated rate. In Nevada, October 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $141 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$93.33 to $126
FacilityA hospital or hospital-owned outpatient department$141$126 to $191

How much rates vary

Facilitymedian $141 · 10th to 90th $120 to $288Professionalmedian $100 · 10th to 90th $83 to $126
$100$200$500$1K$2Kfacility $141professional $100

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
$83.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$151.36
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$147.91
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Select Health
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$131.83
Typical High
$154.88
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$125.89
Typical High
$141.25

Where Nevada 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.

Nevada· 40th of 51

$100

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.