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GRAFTJACKET XPRESS Injectable

South Carolina rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $794 · 10th–90th $676$1,5850%20%10th90th$794Professionalmedian $741 · 10th–90th $724$1,0960%50%10th90th$741$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$741.31
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,981.07
Typical High
$6,918.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$933.25
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$851.14
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$1,995.26