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Illinois rates for HCPCS Q4254

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

Facilitymedian $191 · 10th–90th $117$2690%10%20%10th90th$191Professionalmedian $355 · 10th–90th $115$3890%20%40%10th90th$355$50.0$100.0$200.0$500.0$1.0K

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
Facility
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$354.81
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$169.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$741.31
Typical High
$933.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$478.63