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Nonstandard Size or Width

Idaho rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $14$290%20%10th90th$17Professionalmedian $14 · 10th–90th $14$1020%50%90th$14$10.0$20.0$50.0$100.0

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
$17.78
Median
$17.78
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$11.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$10.72
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$28.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95