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Nonstandard Size or Width

Minnesota rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

Facilitymedian $16 · 10th–90th $14$870%50%10th90th$16Professionalmedian $16 · 10th–90th $13$160%50%10th$16$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
$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