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GRAFTJACKET XPRESS Injectable

Virginia 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 Virginia, July 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 $813 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 8 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$759$724 to $891
FacilityA hospital or hospital-owned outpatient department$813$759 to $933

How much rates vary

Facilitymedian $813 · 10th to 90th $724 to $1,380Professionalmedian $759 · 10th to 90th $724 to $1,514
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $813professional $759

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
$758.58
Median
$758.58
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,258.93
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,513.56
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,778.28
Typical High
$1,995.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$870.96
Typical High
$1,288.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$891.25
Typical High
$891.25
Sentara
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,096.48
Sentara
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,311.31
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,995.26
Typical High
$1,995.26

Where Virginia sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $759 · 32nd of 51
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.