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Nonstandard Size or Width

Missouri rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $14$300%50%90th$14Professionalmedian $14 · 10th–90th $14$660%20%40%90th$14$10.0$20.0$50.0$100.0

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
$14.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$11.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$10.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$16.22
Typical High
$40.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
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