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GRAFTJACKET XPRESS Injectable

Missouri rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$724

Typical negotiated rate. In Missouri, July 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 $891 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$724$407 to $759
FacilityA hospital or hospital-owned outpatient department$891$724 to $1,259

How much rates vary

Facilitymedian $891 · 10th to 90th $724 to $2,692Professionalmedian $724 · 10th to 90th $339 to $1,995
$200$500$1K$2Kfacility $891professional $724

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Missouri sits

Rates are fairly even across states for this service. 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

$724

MN $933MO $724

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.