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GRAFTJACKET XPRESS Injectable

Massachusetts rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $851 · 10th–90th $589$2,0890%20%10th90th$851Professionalmedian $912 · 10th–90th $724$1,9950%20%40%10th90th$912$100.0$500.0$2.0K$10.0K$50.0K

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
$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