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Novafix DL

Indiana rates for HCPCS Q4254

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

Rates data updated July 2026.

Facilitymedian $275 · 10th–90th $117$5130%10%20%10th90th$275Professionalmedian $302 · 10th–90th $115$3800%20%40%10th90th$302$50.0$200.0$1.0K$5.0K$20.0K

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
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$354.81
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$537.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$63,095.73
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$147.91