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Novafix DL

Michigan 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?

$126

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $117 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$126$117 to $355
FacilityA hospital or hospital-owned outpatient department$117$117 to $355

How much rates vary

Facilitymedian $117 · 10th to 90th $102 to $407Professionalmedian $126 · 10th to 90th $115 to $372
$50$100$200$500$1Kfacility $117professional $126

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
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$354.81
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$489.78
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$380.19
Typical High
$954.99
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$354.81
Typical High
$457.09
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$588.84
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
$173.78

Where Michigan 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.

Michigan· 50th of 51

$126

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.