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Novafix DL

Washington, DC rates for HCPCS Q4254

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

Rates data updated July 2026.

Facilitymedian $135 · 10th–90th $135$2630%50%90th$135Professionalmedian $166 · 10th–90th $126$3720%20%40%10th90th$166$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$354.81
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$151.36
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$371.54