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Nonstandard Size or Width

Pennsylvania rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $14$550%50%90th$14Professionalmedian $14 · 10th–90th $14$150%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$54.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29