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GRAFTJACKET XPRESS Injectable

Missouri rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $891 · 10th–90th $724$2,6920%20%10th90th$891Professionalmedian $724 · 10th–90th $339$1,9950%20%40%10th90th$724$100.0$200.0$500.0$1.0K$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
$724.44
Median
$724.44
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,258.93
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,995.26
Typical High
$1,995.26