go back

GRAFTJACKET XPRESS Injectable

Massachusetts rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$912

Typical negotiated rate. In Massachusetts, July 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 $851 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 8 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$912$759 to $912
FacilityA hospital or hospital-owned outpatient department$851$851 to $1,122

How much rates vary

Facilitymedian $851 · 10th to 90th $589 to $2,089Professionalmedian $912 · 10th to 90th $724 to $1,995
$100$200$500$1K$2K$5Kfacility $851professional $912

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
$758.58
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$891.25
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$2,691.53
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,995.26
Typical High
$3,890.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,380.38
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$1,995.26
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,659.59
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$2,691.53
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,995.26
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$933.25
Typical High
$1,995.26

Where Massachusetts 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.

Massachusetts· 3rd of 51

$912

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.