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GRAFTJACKET XPRESS Injectable

Alaska rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated October 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$1,202

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $1,259 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$1,202$1,202 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,259$1,202 to $1,738

How much rates vary

Facilitymedian $1,259 · 10th to 90th $1,096 to $1,862Professionalmedian $1,202 · 10th to 90th $759 to $3,020
$100$200$500$1K$2K$5Kfacility $1,259professional $1,202

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Moda Health
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,737.80
Moda Health
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,202.26
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,258.93
Typical High
$1,995.26
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$891.25
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,737.80
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$758.58
Typical High
$1,380.38
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$3,019.95
Typical High
$5,495.41

Where Alaska sits

The same service costs 4.2 times more in Oklahoma than in Missouri. 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.

Alaska· 7th of 51

$1,202

OK $1,995MO $479

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.