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Nonstandard Size or Width

Nebraska rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $13$350%20%40%10th90th$14Professionalmedian $14 · 10th–90th $14$290%50%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. Small sample; interpret with caution. 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
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
$10.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$23.44
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$47.86