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Standard-Weight Power Wheelchair, Programmable Controls

South Dakota rates for HCPCS K0011

Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking

Rates data updated July 2026.

How much does Standard-Weight Power Wheelchair, Programmable Controls cost?

$5,495

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,888 from a physician practice, and about $2,570 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 5 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$5,888$4,898 to $6,607
FacilityA hospital or hospital-owned outpatient department$2,570$537 to $11,749

How much rates vary

Facilitymedian $2,570 · 10th to 90th $389 to $33,113Professionalmedian $5,888 · 10th to 90th $2,089 to $8,318
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $2,570professional $5,888

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$10,471.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$11,748.98
Typical High
$33,113.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$3,467.37
Typical High
$7,244.36
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93

Where South Dakota sits

The same service costs 4.4 times more in Kansas than in Utah. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $5,495 · 4th of 51
KS $9,772UT $2,239

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.