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Novafix DL

Alaska rates for HCPCS Q4254

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

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $145$7760%20%10th90th$372Professionalmedian $339 · 10th–90th $115$5750%10%10th90th$339$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$363.08
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$354.81
Typical High
$660.69
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,047.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$354.81
Typical High
$660.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$389.05