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High Strength, Lightweight Wheelchair

Kentucky rates for HCPCS K0004

High strength, lightweight wheelchair

Rates data updated July 2026.

How much does High Strength, Lightweight Wheelchair cost?

$525

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $389 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 7 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$525$380 to $692
FacilityA hospital or hospital-owned outpatient department$389$186 to $661

How much rates vary

Facilitymedian $389 · 10th to 90th $44 to $1,318Professionalmedian $525 · 10th to 90th $269 to $891
$50$100$200$500$1K$2Kfacility $389professional $525

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
$380.19
Median
$380.19
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$562.34
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$891.25
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$81.28
Typical High
$616.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$933.25
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$575.44
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$83.18
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$323.59
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$616.60

Where Kentucky sits

The same service costs 6.0 times more in Kansas than in Arkansas. 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.

Kentucky· 18th of 51

$525

KS $2,042AR $339

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.