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Power Wheelchair, Group 1 Standard, Captain's Chair

Kentucky rates for HCPCS K0816

Power wheelchair, group 1 standard, captain's chair, patient weight capacity up to and including 300 pounds

Rates data updated July 2026.

How much does Power Wheelchair, Group 1 Standard, Captain's Chair cost?

$2,455

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $1,413 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 6 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$2,455$1,778 to $3,020
FacilityA hospital or hospital-owned outpatient department$1,413$257 to $2,239

How much rates vary

Facilitymedian $1,413 · 10th to 90th $195 to $3,467Professionalmedian $2,455 · 10th to 90th $1,778 to $3,090
$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,413professional $2,455

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
$1,778.28
Median
$1,778.28
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,041.74
Typical High
$2,818.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$3,090.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$489.78
Typical High
$4,073.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$562.34
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,238.72
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,344.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$331.13
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$933.25
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$2,630.27

Where Kentucky sits

The same service costs 3.2 times more in Kansas than in Oregon. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $2,455 · 23rd of 51
KS $5,754OR $1,778

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.