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Nonstandard Size or Width

Montana rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $11$290%20%10th90th$15Professionalmedian $14 · 10th–90th $14$290%20%40%90th$14$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$28.84
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
$10.72
Typical High
$10.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$15.14
Typical High
$28.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$79.43
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95