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GRAFTJACKET XPRESS Injectable

Illinois rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $933 · 10th–90th $692$3,0200%20%10th90th$933Professionalmedian $741 · 10th–90th $724$1,0470%50%10th90th$741$50.0$200.0$1.0K$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
$724.44
Median
$724.44
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,071.52
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$933.25
Typical High
$1,258.93
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$1,995.26