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HCPCS E2216-UE

Foam filled propulsion tire

Payer pricing summary

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Low

$36

Average

$50

Median

$45

High

$77

Payer rate distribution

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All methodologies Case rate 0 Fee schedule 7 Per diem 0 Percent of billed charges 0 Other 0

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$43	$43	$6	15%	—	$33 – $57
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$45	$45	—	—	—	$45 – $45
3	Humana facility · fee schedule · outpatient	5	$41	$41	$1	1%	—	$41 – $42
4	Aetna facility · fee schedule · outpatient	4	$74	$62	$21	34%	—	$25 – $74
5	WellCare facility · fee schedule · outpatient	4	$45	$45	—	—	—	$45 – $45
6	Cigna facility · fee schedule · outpatient	3	$81	$77	$15	20%	—	$59 – $104
7	Regence facility · fee schedule · outpatient	2	$47	$47	—	—	—	$47 – $47

← Hospitals reporting HCPCS E2216-UE · Snapshot 20261115T194459Z-975ba28a