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GRAFTJACKET XPRESS Injectable

Maine rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$759

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $759 for this service. Most negotiated rates run $759 to $912.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $871 · 10th to 90th $871 to $2,188Professionalmedian $759 · 10th to 90th $724 to $933
$100.0$200.0$500.0$1.0K$2.0Kfacility $871professional $759

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,122.02
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,995.26

Where Maine sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $759 · 13th of 51
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.