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GRAFTJACKET XPRESS Injectable

Massachusetts rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated October 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$1,698

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $933 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,950$759 to $1,995
FacilityA hospital or hospital-owned outpatient department$933$575 to $1,349

How much rates vary

Facilitymedian $933 · 10th to 90th $372 to $2,344Professionalmedian $1,950 · 10th to 90th $759 to $4,074
$100$200$500$1K$2K$5Kfacility $933professional $1,950

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$891.25
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$446.68
Typical High
$1,023.29
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,995.26
Typical High
$4,073.80
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$977.24
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,584.89
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,995.26
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$446.68
Typical High
$1,023.29
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,995.26
Typical High
$4,073.80
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,187.76
Well Sense
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,584.89
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,019.95

Where Massachusetts 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.

Massachusetts· 5th of 51

$1,698

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.