go back

GRAFTJACKET XPRESS Injectable

Arizona rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$741

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $316 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 5 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 $759
FacilityA hospital or hospital-owned outpatient department$316$89.13 to $1,023

How much rates vary

Facilitymedian $316 · 10th to 90th $62 to $1,585Professionalmedian $741 · 10th to 90th $724 to $1,995
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $316professional $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
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$97.72
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,348.96
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26

Where Arizona 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.

Arizona $741 · 47th 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.