go back

New York rates for HCPCS K0816

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

Facilitymedian $1,318 · 10th–90th $195$2,8840%5%10th90th$1,318Professionalmedian $2,630 · 10th–90th $1,514$3,7150%20%10th90th$2,630$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,454.71 / $3,715.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,630.27 / $3,235.94
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $5,248.07
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $2,238.72 / $2,398.83
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,388.44 / $3,388.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $3,388.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $354.81 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $1,737.80 / $2,884.03
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,951.21 / $3,388.44
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $3,388.44