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Novafix DL

Wisconsin rates for HCPCS Q4254

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

Rates data updated July 2026.

Facilitymedian $457 · 10th–90th $126$1,2590%20%10th90th$457Professionalmedian $355 · 10th–90th $117$7940%10%10th90th$355$5.0$20.0$100.0$500.0$2.0K

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
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$1,071.52
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$489.78
Typical High
$676.08
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$794.33
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,071.52
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$501.19
Typical High
$1,819.70
Security Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Security Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$169.82