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Nonstandard Size or Width

Ohio rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

How much does Nonstandard Size or Width cost?

$35.48

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $17.78 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$35.48$17.78 to $48.98
FacilityA hospital or hospital-owned outpatient department$17.78$14.13 to $25.70

How much rates vary

Facilitymedian $18 · 10th to 90th $11 to $26Professionalmedian $35 · 10th to 90th $14 to $66
$2.0$5.0$10.0$20.0$50.0$100.0$200.0facility $18professional $35

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$17.78
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$17.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$66.07
CareSource
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$239.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$11.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$11.22
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$51.29
Typical High
$52.48

Where Ohio sits

The same service costs 9.8 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Ohio $35.48 · 7th of 51
KS $138AL $14.13

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.