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Nonstandard Size or Width

Maine rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

How much does Nonstandard Size or Width cost?

$52.48

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $52.48 for this service. Most negotiated rates run $15.14 to $52.48.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11 · 10th to 90th $11 to $11Professionalmedian $52 · 10th to 90th $14 to $66
$10.0$20.0$50.0$100.0facility $11professional $52

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.45
Typical High
$28.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
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
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$63.10
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.45
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48

Where Maine 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.

Maine $52.48 · 5th 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.