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GRAFTJACKET XPRESS Injectable

Texas rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated October 2026.

How much does GRAFTJACKET XPRESS Injectable cost?

$759

Typical negotiated rate. In Texas, October 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 $912 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$759$741 to $1,995
FacilityA hospital or hospital-owned outpatient department$912$759 to $1,778

How much rates vary

Facilitymedian $912 · 10th to 90th $741 to $2,455Professionalmedian $759 · 10th to 90th $724 to $4,074
$500$1K$2K$5Kfacility $912professional $759

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
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,148.15
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Moda Health
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$912.01
Typical High
$1,047.13
Moda Health
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$741.31
Typical High
$741.31
Providence
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$912.01
Typical High
$6,456.54
Providence
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44

Where Texas 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.

Texas· 25th of 51

$759

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.