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Nonstandard Size or Width

Montana rates for HCPCS L3254

Nonstandard size or width

Rates data updated October 2026.

How much does Nonstandard Size or Width cost?

$79.43

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $14.13 to $79.43.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11 · 10th to 90th $11 to $11Professionalmedian $79 · 10th to 90th $11 to $79
$10$20$50facility $11professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$28.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$11.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$10.72
Typical High
$11.48
Providence
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$11.48
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43

Where Montana sits

The same service costs 27.5 times more in Kansas than in South Carolina. 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.

Montana· 3rd of 51

$79.43

KS $138SC $5.01

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.