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GRAFTJACKET XPRESS Injectable

Minnesota rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $1,862 · 10th–90th $912$2,6920%10%20%10th90th$1,862Professionalmedian $933 · 10th–90th $741$9330%50%10th$933$1.0$5.0$20.0$100.0$500.0$2.0K

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
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,412.54
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,187.76
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$912.01
Typical High
$1,047.13
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,137.96
Typical High
$3,090.30
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,818.38