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Power Operated Vehicle, Group 1 Heavy-Duty

Pennsylvania rates for HCPCS K0801

Power operated vehicle, group 1 heavy-duty, patient weight capacity 301 to 450 pounds

Rates data updated July 2026.

How much does Power Operated Vehicle, Group 1 Heavy-Duty cost?

$1,072

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $1,230 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$1,072$1,023 to $1,148
FacilityA hospital or hospital-owned outpatient department$1,230$813 to $1,950

How much rates vary

Facilitymedian $1,230 · 10th to 90th $115 to $12,303Professionalmedian $1,072 · 10th to 90th $832 to $1,862
$100$200$500$1K$2K$5K$10Kfacility $1,230professional $1,072

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
$954.99
Median
$1,071.52
Typical High
$2,344.23
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$1,584.89
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$2,137.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$1,819.70
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,148.15
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$12,302.69
Typical High
$16,218.10
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$851.14
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$2,041.74

Where Pennsylvania sits

The same service costs 4.9 times more in Kansas than in Washington. 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.

Pennsylvania· 46th of 51

$1,072

KS $4,677WA $955

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.