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GRAFTJACKET XPRESS Injectable

Indiana rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated October 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$912

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $1,202 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$912$759 to $977
FacilityA hospital or hospital-owned outpatient department$1,202$912 to $2,089

How much rates vary

Facilitymedian $1,202 · 10th to 90th $759 to $2,188Professionalmedian $912 · 10th to 90th $724 to $1,995
$500$1K$2Kfacility $1,202professional $912

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,778.28
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$4,073.80
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,513.56
Typical High
$2,754.23
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$724.44
Typical High
$1,096.48
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,754.23

Where Indiana sits

The same service costs 4.2 times more in Oklahoma than in Missouri. 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.

Indiana· 16th of 51

$912

OK $1,995MO $479

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.