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Novafix

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $316 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$380$148 to $398
FacilityA hospital or hospital-owned outpatient department$316$126 to $380

How much rates vary

Facilitymedian $316 · 10th to 90th $102 to $380Professionalmedian $380 · 10th to 90th $120 to $407
$100$200$500facility $316professional $380

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
$380.19
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$398.11
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$190.55
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$346.74
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$407.38
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan sits

Rates are fairly even across states for this service. 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.

Michigan· 43rd of 51

$380

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.