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HCPCS E2386-RR

Foam filled drive wheel tire

Payer pricing summary

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Low

$12

Average

$22

Median

$15

High

$60

Payer rate distribution

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All methodologies Case rate 0 Fee schedule 8 Per diem 0 Percent of billed charges 0 Other 0

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$13	$15	$8	58%	—	$10 – $40
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$13	$13	—	—	—	$13 – $13
3	Humana facility · fee schedule · outpatient	5	$12	$12	$0	1%	—	$12 – $12
4	Aetna facility · fee schedule · outpatient	4	$24	$20	$7	37%	—	$7 – $24
5	UnitedHealthcare facility · fee schedule · outpatient	4	$13	$13	—	—	—	$13 – $13
6	WellCare facility · fee schedule · outpatient	4	$13	$13	—	—	—	$13 – $13
7	Cigna facility · fee schedule · outpatient	3	$26	$25	$5	20%	—	$19 – $33
8	Regence facility · fee schedule · outpatient	2	$17	$17	—	—	—	$17 – $17

← Hospitals reporting HCPCS E2386-RR · Snapshot 20261115T194459Z-975ba28a