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GRAFTJACKET XPRESS Injectable

New York rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated October 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$851

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $933 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$851$759 to $1,318
FacilityA hospital or hospital-owned outpatient department$933$933 to $977

How much rates vary

Facilitymedian $933 · 10th to 90th $871 to $1,445Professionalmedian $851 · 10th to 90th $617 to $2,138
$500$1K$2Kfacility $933professional $851

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
$616.60
Median
$724.44
Typical High
$758.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$977.24
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,949.84
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$1,000.00
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$977.24
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,570.40
Univera
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$933.25
Typical High
$933.25
Univera
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25

Where New York 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.

New York· 22nd of 51

$851

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.