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GRAFTJACKET XPRESS Injectable

Minnesota rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated October 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$933

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $1,445 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$891$832 to $1,047
FacilityA hospital or hospital-owned outpatient department$1,445$933 to $1,862

How much rates vary

Facilitymedian $1,445 · 10th to 90th $891 to $2,630Professionalmedian $891 · 10th to 90th $741 to $1,995
$500$1K$2Kfacility $1,445professional $891

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
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$891.25
Typical High
$891.25
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,412.54
Typical High
$1,862.09
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,995.26
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$870.96
Typical High
$1,047.13
Health Partners
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,778.28
Typical High
$3,019.95
Health Partners
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Medica
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$912.01
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,951.21
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Minnesota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$467.74
Median
$724.44
Typical High
$933.25

Where Minnesota 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.

Minnesota· 14th of 51

$933

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.