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GRAFTJACKET XPRESS Injectable

West Virginia rates for HCPCS Q4113

GRAFTJACKET XPRESS, injectable, 1 cc

Rates data updated July 2026.

Facilitymedian $759 · 10th–90th $759$8510%50%90th$759Professionalmedian $759 · 10th–90th $741$1,9950%50%10th90th$759$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

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
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$4,073.80
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
$1,949.84
Median
$1,995.26
Typical High
$1,995.26