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GRAFTJACKET XPRESS Injectable

Alaska rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$759

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $912 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 6 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$741$724 to $912
FacilityA hospital or hospital-owned outpatient department$912$759 to $1,202

How much rates vary

Facilitymedian $912 · 10th to 90th $437 to $1,445Professionalmedian $741 · 10th to 90th $724 to $1,202
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $912professional $741

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
Professional
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$912.01
Typical High
$1,318.26
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$1,000.00
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,258.93
Typical High
$1,995.26
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$977.24
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$912.01
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$758.58
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,019.95
Typical High
$6,025.60

Where Alaska sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $759 · 34th of 51
MN $933MO $724

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.