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Power Wheelchair, Group 1 Standard, Captain's Chair

Montana 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?

$2,239

Typical negotiated rate. In Montana, 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 $1,288 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 4 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$1,288 to $2,692
FacilityA hospital or hospital-owned outpatient department$1,288$245 to $2,239

How much rates vary

Facilitymedian $1,288 · 10th to 90th $224 to $3,890Professionalmedian $2,239 · 10th to 90th $79 to $2,692
$100$200$500$1K$2K$5Kfacility $1,288professional $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. 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
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
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
$269.15
Median
$2,238.72
Typical High
$4,073.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$4,897.79
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$2,137.96

Where Montana sits

The same service costs 3.2 times more in Kansas than in Oregon. 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.

Montana· 35th of 51

$2,239

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.