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Nonstandard Size or Width

Rhode Island rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $11$110%50%100%$11Professionalmedian $15 · 10th–90th $14$290%50%10th90th$15$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
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.14
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
$7.76
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48