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GRAFTJACKET XPRESS Injectable

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $794 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 6 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$741$741 to $759
FacilityA hospital or hospital-owned outpatient department$794$741 to $977

How much rates vary

Facilitymedian $794 · 10th to 90th $676 to $1,585Professionalmedian $741 · 10th to 90th $724 to $1,096
$500$1K$2Kfacility $794professional $741

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
$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

Where South Carolina 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.

South Carolina· 18th 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.