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Novafix DL

South Dakota 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?

$141

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $457 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 5 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$132$126 to $447
FacilityA hospital or hospital-owned outpatient department$457$355 to $603

How much rates vary

Facilitymedian $457 · 10th to 90th $204 to $646Professionalmedian $132 · 10th to 90th $120 to $490
$200$500$1Kfacility $457professional $132

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$524.81
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,819.70
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12

Where South Dakota 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.

South Dakota· 39th of 51

$141

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.