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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 October 2026.

How much does Novafix DL cost?

$135

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $126 to $135.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $240 · 10th to 90th $135 to $347Professionalmedian $135 · 10th to 90th $126 to $214
$100$200$500facility $240professional $135

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$354.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$67.61
Typical High
$177.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$27.54
Typical High
$70.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.42
Median
$20.42
Typical High
$53.70
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.49
Median
$13.49
Typical High
$35.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$263.03
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$144.54
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$151.36
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$213.80

Where Washington, DC 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.

Washington, DC· 25th of 51

$135

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.