go back

Novafix

Pennsylvania 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?

$398

Typical negotiated rate. In Pennsylvania, July 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 $407 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 7 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$407$407 to $407

How much rates vary

Facilitymedian $407 · 10th to 90th $214 to $468Professionalmedian $398 · 10th to 90th $126 to $407
$100.0$1.0K$10.0Kfacility $407professional $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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$407.38
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$338.84
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$218.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$338.84

Where Pennsylvania 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.

Pennsylvania $398 · 22nd 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.