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GRAFTJACKET XPRESS Injectable

Michigan rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated October 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$724

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $1,096 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$724$120 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,096$724 to $2,399

How much rates vary

Facilitymedian $1,096 · 10th to 90th $724 to $2,630Professionalmedian $724 · 10th to 90th $74 to $1,995
$50$100$200$500$1K$2Kfacility $1,096professional $724

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$954.99
Typical High
$954.99
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,096.48
Typical High
$2,630.27
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$891.25
Typical High
$1,174.90
Priority Health
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$954.99
Typical High
$954.99
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,137.96

Where Michigan 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.

Michigan· 50th of 51

$724

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.