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GRAFTJACKET XPRESS Injectable

Arkansas rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $1,096 · 10th–90th $759$1,0960%50%10th$1,096Professionalmedian $741 · 10th–90th $724$1,2020%50%10th90th$741$1.0K$2.0K

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
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$1,995.26