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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.

Facilitymedian $138 · 10th–90th $112$4570%20%40%10th90th$138Professionalmedian $355 · 10th–90th $65$3720%50%10th90th$355$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$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