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Novafix

Illinois rates for HCPCS Q4208

Novafix, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Novafix cost?

$380

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $224 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 6 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$398$380 to $407
FacilityA hospital or hospital-owned outpatient department$224$191 to $380

How much rates vary

Facilitymedian $224 · 10th to 90th $151 to $501Professionalmedian $398 · 10th to 90th $126 to $407
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $224professional $398

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
$117.49
Median
$380.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$147.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$467.74
Typical High
$588.84
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$239.88

Where Illinois 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.

Illinois $380 · 41st of 51
ME $407OR $282

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.