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GRAFTJACKET XPRESS Injectable

Nebraska rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$741

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $933 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$724 to $759
FacilityA hospital or hospital-owned outpatient department$933$741 to $1,122

How much rates vary

Facilitymedian $933 · 10th to 90th $724 to $1,413Professionalmedian $724 · 10th to 90th $724 to $1,995
$500.0$1.0K$2.0K$5.0Kfacility $933professional $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
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,000.00
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$1,071.52
Typical High
$1,230.27
Midlands
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,311.31
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,995.26
Typical High
$2,137.96

Where Nebraska sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Nebraska $741 · 39th of 51
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.