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Nonstandard Size or Width

Michigan rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

How much does Nonstandard Size or Width cost?

$26.92

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $17.78 from a physician practice, and about $87.10 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$17.78$14.13 to $42.66
FacilityA hospital or hospital-owned outpatient department$87.10$14.13 to $155

How much rates vary

Facilitymedian $87 · 10th to 90th $14 to $209Professionalmedian $18 · 10th to 90th $14 to $45
$10$20$50$100$200facility $87professional $18

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
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$134.90
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$46.77
CareSource
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
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
$8.71
Typical High
$10.72
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$87.10
Typical High
$97.72
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$33.11
Typical High
$45.71
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29

Where Michigan sits

The same service costs 9.8 times more in Kansas than in Alabama. 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.

Michigan· 9th of 51

$26.92

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.