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Nonstandard Size or Width

South Carolina rates for HCPCS L3254

Nonstandard size or width

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $14$240%50%90th$14Professionalmedian $14 · 10th–90th $12$180%50%10th90th$14$5.0$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
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$17.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.37
Typical High
$7.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$10.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.79
Typical High
$28.18
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12