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GRAFTJACKET XPRESS Injectable

Nebraska rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated October 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$1,778

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $1,023 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,778$1,047 to $1,995
FacilityA hospital or hospital-owned outpatient department$1,023$891 to $1,047

How much rates vary

Facilitymedian $1,023 · 10th to 90th $776 to $1,047Professionalmedian $1,778 · 10th to 90th $724 to $1,995
$500$1K$2Kfacility $1,023professional $1,778

Distribution of negotiated rates across all payers (price axis is log-scale). 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
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,047.13
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$1,348.96
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,230.27
Typical High
$1,230.27
Midlands
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$1,995.26

Where Nebraska 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.

Nebraska· 4th of 51

$1,778

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.