go back

GRAFTJACKET XPRESS Injectable

Alaska rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $912 · 10th–90th $437$1,4450%20%10th90th$912Professionalmedian $741 · 10th–90th $724$1,2020%50%10th90th$741$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
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