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Novafix DL

Oregon 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?

$132

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $355 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$126 to $263
FacilityA hospital or hospital-owned outpatient department$355$355 to $355

How much rates vary

Facilitymedian $355 · 10th to 90th $269 to $525Professionalmedian $126 · 10th to 90th $126 to $355
$100$200$500facility $355professional $126

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
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
$169.82
Median
$269.15
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$275.42
Typical High
$346.74
Moda Health
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$512.86
Typical High
$524.81
Moda Health
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$309.03
Typical High
$354.81
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Providence
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$169.82
Typical High
$812.83
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$125.89
Typical High
$151.36
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$204.17
Typical High
$218.78
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Oregon 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.

Oregon· 27th of 51

$132

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.