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Nonstandard Size or Width

Rhode Island rates for HCPCS L3254

Nonstandard size or width

Rates data updated October 2026.

How much rates vary

Facilitymedian $11 · 10th to 90th $11 to $11Professionalmedian $29 · 10th to 90th $8 to $29
$10$20facility $11professional $29

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
$17.78
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$8.91
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.55
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.69
Median
$4.27
Typical High
$4.27
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.78
Median
$2.88
Typical High
$2.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$7.76
Typical High
$10.72