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GRAFTJACKET XPRESS Injectable

Iowa rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$891

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $1,000 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 7 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$891$759 to $891
FacilityA hospital or hospital-owned outpatient department$1,000$891 to $1,000

How much rates vary

Facilitymedian $1,000 · 10th to 90th $813 to $1,000Professionalmedian $891 · 10th to 90th $724 to $1,995
$10.0$100.0$1.0Kfacility $1,000professional $891

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
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,023.29
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$831.76
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,995.26
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,230.27
Typical High
$1,230.27
Midlands
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$630.96
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$1,995.26
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,137.96
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,000.00

Where Iowa 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.

Iowa $891 · 7th 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.