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GRAFTJACKET XPRESS Injectable

North Dakota rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $724 · 10th–90th $724$9120%50%90th$724Professionalmedian $741 · 10th–90th $589$8910%20%40%10th90th$741$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
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$660.69
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,258.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,238.72