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High Strength, Lightweight Wheelchair

New York rates for HCPCS K0004

High strength, lightweight wheelchair

Rates data updated July 2026.

How much does High Strength, Lightweight Wheelchair cost?

$513

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $380 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$513$407 to $724
FacilityA hospital or hospital-owned outpatient department$380$72.44 to $550

How much rates vary

Facilitymedian $380 · 10th to 90th $44 to $741Professionalmedian $513 · 10th to 90th $398 to $794
$50$100$200$500$1Kfacility $380professional $513

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
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$676.08
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$1,318.26
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$602.56
Typical High
$707.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$812.83
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,148.15
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$346.74
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$478.63
Typical High
$831.76
Univera
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,096.48
Univera
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,148.15

Where New York 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.

New York· 19th of 51

$513

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.