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GRAFTJACKET XPRESS Injectable

Ohio rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$759

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $724 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 7 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$759$741 to $1,122
FacilityA hospital or hospital-owned outpatient department$724$724 to $1,622

How much rates vary

Facilitymedian $724 · 10th to 90th $724 to $2,455Professionalmedian $759 · 10th to 90th $724 to $1,738
$1K$2Kfacility $724professional $759

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
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,047.13
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,621.81
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$870.96
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,621.81
Typical High
$2,344.23
Medical Mutual of Ohio
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
$1,047.13
Typical High
$1,513.56
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$1,995.26

Where Ohio sits

Rates are fairly even across states for this service. 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.

Ohio· 20th of 51

$759

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.