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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 July 2026.

Facilitymedian $170 · 10th–90th $117$5130%20%10th90th$170Professionalmedian $355 · 10th–90th $117$4790%20%40%10th90th$355$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$134.90
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$354.81
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$354.81
Typical High
$524.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$354.81
Typical High
$457.09
Sentara
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$524.81
Sentara
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$141.25