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GRAFTJACKET XPRESS Injectable

Indiana rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $1,096 · 10th–90th $724$2,0890%20%10th90th$1,096Professionalmedian $741 · 10th–90th $724$1,7780%50%10th90th$741$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
$724.44
Median
$724.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26