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Novafix DL

Missouri rates for HCPCS Q4254

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

Rates data updated July 2026.

Facilitymedian $120 · 10th–90th $102$4790%20%10th90th$120Professionalmedian $126 · 10th–90th $98$4470%10%20%10th90th$126$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
$117.49
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$120.23
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$478.63
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$302.00