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GRAFTJACKET XPRESS Injectable

North Dakota rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated October 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$1,023

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $724 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$832 to $1,995
FacilityA hospital or hospital-owned outpatient department$724$724 to $724

How much rates vary

Facilitymedian $724 · 10th to 90th $724 to $1,259Professionalmedian $1,047 · 10th to 90th $724 to $2,239
$1K$2Kfacility $724professional $1,047

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
$724.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$891.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,238.72
United
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,995.26
Typical High
$2,238.72

Where North Dakota 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.

North Dakota· 11th of 51

$1,023

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.