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Standard-Weight Power Wheelchair, Programmable Controls

Virginia 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 October 2026.

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

$5,012

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,012 from a physician practice, and about $2,344 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,012$3,467 to $5,012
FacilityA hospital or hospital-owned outpatient department$2,344$501 to $5,129

How much rates vary

Facilitymedian $2,344 · 10th to 90th $427 to $7,244Professionalmedian $5,012 · 10th to 90th $550 to $5,129
$500$1K$2K$5K$10Kfacility $2,344professional $5,012

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,754.23
Median
$3,235.94
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$501.19
Median
$501.19
Typical High
$537.03
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,801.89
CareFirst
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$4,365.16
Typical High
$5,011.87
CareFirst
Setting
Professional
Modifier
RR · Rental
Typical Low
$436.52
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$436.52
Median
$436.52
Typical High
$512.86
Cigna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$6,309.57
Typical High
$7,413.10
Medcost
Setting
Professional
Modifier
RR · Rental
Typical Low
$354.81
Median
$354.81
Typical High
$457.09
Medcost
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$4,365.16
Medcost
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Sentara
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$2,630.27
Typical High
$8,317.64
Sentara
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$707.95
Typical High
$6,025.60
Sentara
Setting
Professional
Modifier
RR · Rental
Typical Low
$407.38
Median
$501.19
Typical High
$691.83
United
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,398.83
Typical High
$4,265.80
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$316.23
Median
$346.74
Typical High
$467.74
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
KF · Class III device
Typical Low
$134.90
Median
$134.90
Typical High
$134.90

Where Virginia sits

The same service costs 12.6 times more in Kansas than in Mississippi. 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.

Virginia· 15th of 51

$5,012

KS $9,772MS $776

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.