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Power Wheelchair, Group 1 Portable, Sling or Solid Seat

New York rates for HCPCS K0813

Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Rates data updated July 2026.

How much does Power Wheelchair, Group 1 Portable, Sling or Solid Seat cost?

$2,239

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $1,047 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 8 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$2,239$1,622 to $2,239
FacilityA hospital or hospital-owned outpatient department$1,047$229 to $1,995

How much rates vary

Facilitymedian $1,047 · 10th to 90th $151 to $2,239Professionalmedian $2,239 · 10th to 90th $1,096 to $3,236
$100$200$500$1K$2K$5Kfacility $1,047professional $2,239

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
$1,096.48
Median
$2,238.72
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,238.72
Typical High
$2,951.21
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$4,168.69
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$2,238.72
Typical High
$2,630.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,454.71
Typical High
$2,454.71
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$316.23
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$1,380.38
Typical High
$2,238.72
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,089.30
Typical High
$2,454.71
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,454.71

Where New York sits

The same service costs 3.6 times more in Kansas than in New Mexico. 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· 12th of 51

$2,239

KS $5,754NM $1,585

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.