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Nonstandard Size or Width

Alaska rates for HCPCS L3254

Nonstandard size or width

Rates data updated October 2026.

How much does Nonstandard Size or Width cost?

$14.13

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $14.45 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.13$14.13 to $14.13
FacilityA hospital or hospital-owned outpatient department$14.45$14.13 to $17.78

How much rates vary

Facilitymedian $14 · 10th to 90th $11 to $26Professionalmedian $14 · 10th to 90th $8 to $18
$10$20$50$100facility $14professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$17.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$11.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$11.48
Moda Health
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$15.14
Typical High
$19.95
Moda Health
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$60.26
Providence
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$14.45
Typical High
$25.70
Providence
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$10.72
Typical High
$60.26

Where Alaska sits

The same service costs 27.5 times more in Kansas than in South 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.

Alaska· 30th of 51

$14.13

KS $138SC $5.01

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.