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GRAFTJACKET XPRESS Injectable

New York rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $933 · 10th–90th $724$1,4450%20%10th90th$933Professionalmedian $851 · 10th–90th $724$1,5850%50%10th90th$851$50.0$200.0$1.0K$5.0K$20.0K

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
$616.60
Median
$724.44
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$870.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$3,162.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$933.25
Typical High
$954.99
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,995.26
Univera
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Univera
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25