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Pennsylvania rates for HCPCS Q4254

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

Facilitymedian $389 · 10th–90th $240$4680%50%10th90th$389Professionalmedian $355 · 10th–90th $115$3890%50%10th90th$355$1.0$10.0$100.0$1.0K$10.0K

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
$371.54
Median
$371.54
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$354.81
Typical High
$389.05
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$407.38
Typical High
$407.38
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$213.80
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$389.05
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$354.81
Typical High
$380.19
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$229.09
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$407.38