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GRAFTJACKET XPRESS Injectable

North Carolina rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $759 · 10th–90th $389$1,4450%20%10th90th$759Professionalmedian $759 · 10th–90th $191$8910%20%40%10th90th$759$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$331.13
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,311.31
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$1,995.26
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80