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Montana rates for HCPCS L3254

Nonstandard size or width

Facilitymedian $15 · 10th–90th $11–$290%20%10th90th$15Professionalmedian $14 · 10th–90th $14–$280%50%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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.72 / $10.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $15.14 / $28.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $79.43 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95