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Novafix

Pennsylvania rates for HCPCS Q4208

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

Rates data updated October 2026.

How much does Novafix cost?

$398

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $398 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$126 to $407
FacilityA hospital or hospital-owned outpatient department$398$214 to $479

How much rates vary

Facilitymedian $398 · 10th to 90th $145 to $603Professionalmedian $398 · 10th to 90th $126 to $407
$100$500$2K$10K$50Kfacility $398professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$398.11
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$213.80
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$288.40
Typical High
$338.84
Geisinger
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$147.91
Typical High
$208.93
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$165.96

Where Pennsylvania sits

The same service costs 4.1 times more in Alaska than in North Carolina. 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.

Pennsylvania· 5th of 51

$398

AK $479NC $117

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.