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Nonstandard Size or Length

New York rates for HCPCS L3255

Nonstandard size or length

Rates data updated July 2026.

How much does Nonstandard Size or Length cost?

$23.99

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $19.50 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 9 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$25.12$19.50 to $191
FacilityA hospital or hospital-owned outpatient department$19.50$3.31 to $19.50

How much rates vary

Facilitymedian $19 · 10th to 90th $3 to $24Professionalmedian $25 · 10th to 90th $16 to $229
$10$100$1K$10Kfacility $19professional $25

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
$19.50
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.50
Typical High
$23.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$363.08
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.31
Typical High
$20.42
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.47
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$44.67
Typical High
$64.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.98
Univera
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.31

Where New York sits

The same service costs 10.2 times more in California than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 11th of 51

$23.99

CA $162MN $15.85

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.