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Novafix DL

Virginia 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?

$126

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $229 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 7 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 $135
FacilityA hospital or hospital-owned outpatient department$229$141 to $372

How much rates vary

Facilitymedian $229 · 10th to 90th $117 to $2,455Professionalmedian $126 · 10th to 90th $126 to $372
$100$200$500$1K$2K$5K$10Kfacility $229professional $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
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$371.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$27.54
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.42
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.49
Median
$37.15
Typical High
$37.15
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$151.36
Typical High
$194.98
Medcost
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$575.44
Medcost
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$457.09
Sentara
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$213.80
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$125.89
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Virginia 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.

Virginia· 42nd of 51

$126

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.