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GRAFTJACKET XPRESS Injectable

Georgia rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $741 · 10th–90th $741$3,8900%50%90th$741Professionalmedian $759 · 10th–90th $724$1,9050%50%10th90th$759$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$446.68
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$870.96
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,890.45
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,137.96