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GRAFTJACKET XPRESS Injectable

South Dakota rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated October 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$1,148

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $1,000 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,230$933 to $1,995
FacilityA hospital or hospital-owned outpatient department$1,000$1,000 to $1,023

How much rates vary

Facilitymedian $1,000 · 10th to 90th $724 to $1,380Professionalmedian $1,230 · 10th to 90th $759 to $2,188
$500$1K$2Kfacility $1,000professional $1,230

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
$724.44
Median
$724.44
Typical High
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$891.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,096.48
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,023.29
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,380.38
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Midlands
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Midlands
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$1,071.52
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,995.26
Typical High
$2,187.76
Wellmark
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00

Where South Dakota 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.

South Dakota· 8th of 51

$1,148

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.