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GRAFTJACKET XPRESS Injectable

Kentucky rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $1,096 · 10th–90th $1,000$1,0960%50%10th$1,096Professionalmedian $759 · 10th–90th $724$9120%50%10th90th$759$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$1,047.13
Median
$1,096.48
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$912.01
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$4,073.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,995.26
Typical High
$1,995.26