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Novafix DL

Kentucky rates for HCPCS Q4254

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

Rates data updated July 2026.

How much does Novafix DL cost?

$355

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $138 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$355$117 to $355
FacilityA hospital or hospital-owned outpatient department$138$112 to $407

How much rates vary

Facilitymedian $138 · 10th to 90th $112 to $457Professionalmedian $355 · 10th to 90th $65 to $372
$100$1K$10Kfacility $138professional $355

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$117.49
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$371.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$52,480.75
Typical High
$63,095.73
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$51,286.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$346.74

Where Kentucky sits

The same service costs 3.1 times more in North Dakota 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.

Kentucky· 5th of 51

$355

ND $363NC $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.