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Nonstandard Size or Width

Iowa rates for HCPCS L3254

Nonstandard size or width

Rates data updated October 2026.

How much does Nonstandard Size or Width cost?

$46.77

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $23.99 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$46.77$25.70 to $46.77
FacilityA hospital or hospital-owned outpatient department$23.99$14.13 to $64.57

How much rates vary

Facilitymedian $24 · 10th to 90th $11 to $89Professionalmedian $47 · 10th to 90th $18 to $56
$10$20$50$100facility $24professional $47

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
$17.78
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.08
Median
$8.91
Typical High
$8.91
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.82
Median
$3.55
Typical High
$3.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.09
Median
$2.69
Typical High
$2.69
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.41
Median
$1.78
Typical High
$1.78
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
$50.12
Typical High
$57.54
Hally Health
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$26.30
Typical High
$28.18
Medica
Setting
Facility
Modifier
None
Typical Low
$14.13
Median
$26.92
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$56.23
Typical High
$56.23
Midlands
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Wellmark
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77

Where Iowa 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.

Iowa· 13th of 51

$46.77

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.