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Novafix DL

New Jersey rates for HCPCS Q4254

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

Rates data updated October 2026.

How much does Novafix DL cost?

$355

Typical negotiated rate. In New Jersey, October 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 $8,710 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$355$126 to $407
FacilityA hospital or hospital-owned outpatient department$8,710$380 to $16,982

How much rates vary

Facilitymedian $8,710 · 10th to 90th $151 to $23,988Professionalmedian $355 · 10th to 90th $126 to $407
$200$500$1K$2K$5K$10K$20Kfacility $8,710professional $355

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$144.54
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$407.38
Typical High
$478.63
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$11,748.98
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$141.25

Where New Jersey sits

The same service costs 4.1 times more in Alaska 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.

New Jersey· 8th of 51

$355

AK $479NC $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.