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Nonstandard Size or Width

Indiana rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

Facilitymedian $66 · 10th–90th $14$1260%20%10th90th$66Professionalmedian $14 · 10th–90th $14$810%20%40%90th$14$10.0$20.0$50.0$100.0$200.0

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
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$17.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$104.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48