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High Strength, Lightweight Wheelchair

Wisconsin rates for HCPCS K0004

High strength, lightweight wheelchair

Rates data updated July 2026.

How much does High Strength, Lightweight Wheelchair cost?

$550

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $562 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$525$457 to $562
FacilityA hospital or hospital-owned outpatient department$562$389 to $955

How much rates vary

Facilitymedian $562 · 10th to 90th $59 to $1,862Professionalmedian $525 · 10th to 90th $209 to $724
$50$100$200$500$1K$2Kfacility $562professional $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
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$954.99
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$1,000.00
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$524.81
Typical High
$977.24
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$831.76
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$776.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$50.12
Typical High
$416.87
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$524.81
Typical High
$977.24
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Quartz
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$109.65
Typical High
$151.36
Quartz
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,862.09
Typical High
$3,981.07
Quartz
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$660.69
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$338.84
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$812.83

Where Wisconsin 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.

Wisconsin· 14th of 51

$550

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.