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Nonstandard Size or Width

Minnesota rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

How much does Nonstandard Size or Width cost?

$15.85

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $15.85 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 5 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$15.85$14.13 to $15.85
FacilityA hospital or hospital-owned outpatient department$15.85$15.85 to $18.62

How much rates vary

Facilitymedian $16 · 10th to 90th $14 to $87Professionalmedian $16 · 10th to 90th $13 to $16
$10$20$50$100$200facility $16professional $16

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
$15.85
Median
$15.85
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$15.85
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.76
Typical High
$10.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
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 Minnesota 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.

Minnesota· 19th of 51

$15.85

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.