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Power Wheelchair, Group 1 Standard, Captain's Chair

New York 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?

$2,630

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $1,318 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$2,630$2,138 to $2,818
FacilityA hospital or hospital-owned outpatient department$1,318$245 to $2,188

How much rates vary

Facilitymedian $1,318 · 10th to 90th $195 to $2,884Professionalmedian $2,630 · 10th to 90th $1,445 to $3,715
$50.0$200.0$1.0K$5.0Kfacility $1,318professional $2,630

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
$1,548.82
Median
$2,818.38
Typical High
$3,715.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,630.27
Typical High
$3,235.94
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$5,248.07
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$5,248.07
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
$295.12
Median
$2,238.72
Typical High
$2,884.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,388.44
Typical High
$3,388.44
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$1,737.80
Typical High
$2,818.38
Univera
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,951.21
Typical High
$3,388.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,388.44

Where New York 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.

New York $2,630 · 12th 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.