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Nonstandard Size or Width

Massachusetts rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

How much does Nonstandard Size or Width cost?

$47.86

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $15.14 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$47.86$15.14 to $52.48
FacilityA hospital or hospital-owned outpatient department$15.14$15.14 to $135

How much rates vary

Facilitymedian $15 · 10th to 90th $15 to $3,631Professionalmedian $48 · 10th to 90th $14 to $52
$10.0$100.0$1.0K$10.0Kfacility $15professional $48

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.14
Typical High
$28.84
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$134.90
Typical High
$147.91
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$10.72
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$81.28
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$134.90
Typical High
$147.91
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$52.48
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

Where Massachusetts sits

The same service costs 9.8 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $47.86 · 6th of 51
KS $138AL $14.13

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.