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GRAFTJACKET XPRESS Injectable

New Mexico rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $891 · 10th–90th $372$2,0420%20%10th90th$891Professionalmedian $741 · 10th–90th $724$1,6980%50%10th90th$741$50.0$100.0$200.0$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
$851.14
Median
$851.14
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$1,071.52
Typical High
$2,089.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$870.96
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26