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Novafix

New York 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 New York, 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 $339 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$309 to $457
FacilityA hospital or hospital-owned outpatient department$339$145 to $380

How much rates vary

Facilitymedian $339 · 10th to 90th $138 to $407Professionalmedian $380 · 10th to 90th $126 to $457
$100.0$1.0K$10.0Kfacility $339professional $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
$144.54
Median
$380.19
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$338.84
Typical High
$549.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$338.84
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$288.40
Typical High
$363.08

Where New York 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.

New York $380 · 46th 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.