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GRAFTJACKET XPRESS Injectable

Illinois 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 Illinois, 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 $933 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 6 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$933$724 to $1,514

How much rates vary

Facilitymedian $933 · 10th to 90th $692 to $3,020Professionalmedian $741 · 10th to 90th $724 to $1,047
$500$1K$2K$5K$10Kfacility $933professional $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
$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

Where Illinois sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 49th of 51

$741

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.