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GRAFTJACKET XPRESS Injectable

Missouri rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated October 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$479

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $891 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$468$309 to $1,175
FacilityA hospital or hospital-owned outpatient department$891$776 to $1,413

How much rates vary

Facilitymedian $891 · 10th to 90th $575 to $3,388Professionalmedian $468 · 10th to 90th $309 to $1,995
$200$500$1K$2Kfacility $891professional $468

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
$724.44
Median
$724.44
Typical High
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$354.81
Typical High
$512.86
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,258.93
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Medica
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$891.25
Typical High
$3,388.44
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
$1,778.28
Median
$1,995.26
Typical High
$2,290.87

Where Missouri 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.

Missouri· 51st of 51

$479

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.