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GRAFTJACKET XPRESS Injectable

Texas rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $891 · 10th–90th $676$2,6920%20%10th90th$891Professionalmedian $741 · 10th–90th $724$1,9950%50%10th90th$741$20.0$100.0$500.0$2.0K$10.0K

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
$724.44
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$741.31
Typical High
$758.58
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,778.28
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$891.25
Typical High
$1,288.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$1,548.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,454.71
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,000.00