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Power Wheelchair, Group 1 Standard, Captain's Chair

Maryland rates for HCPCS K0816

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

Rates data updated October 2026.

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

$2,291

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $2,291 for this service. Most negotiated rates run $1,778 to $3,388.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,239 · 10th to 90th $2,239 to $2,239Professionalmedian $2,291 · 10th to 90th $372 to $3,715
$500$1K$2Kfacility $2,239professional $2,291

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,995.26
Median
$2,290.87
Typical High
$2,818.38
CareFirst
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$3,388.44
Typical High
$3,715.35
CareFirst
Setting
Professional
Modifier
RR · Rental
Typical Low
$338.84
Median
$338.84
Typical High
$371.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$190.55
Median
$190.55
Typical High
$223.87
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
RR · Rental
Typical Low
$229.09
Median
$275.42
Typical High
$446.68
United
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,621.81
Typical High
$3,019.95
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$128.82
Median
$229.09
Typical High
$338.84
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$3,890.45
Typical High
$3,890.45
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
UE · Used equipment
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,137.96

Where Maryland sits

The same service costs 13.5 times more in Kansas than in Montana. 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.

Maryland· 27th of 51

$2,291

KS $5,754MT $427

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.