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Power Wheelchair, Group 1 Standard, Captain's Chair

South Carolina 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 South Carolina, October 2026.

Insurers have agreed to pay about $2,291 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $2,239 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,692$2,138 to $2,692
FacilityA hospital or hospital-owned outpatient department$2,239$2,239 to $2,344

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,862 to $2,818Professionalmedian $2,692 · 10th to 90th $1,413 to $2,754
$500$1K$2Kfacility $2,239professional $2,692

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
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
BCBS South Carolina
Setting
Facility
Modifier
RR · Rental
Typical Low
$446.68
Median
$501.19
Typical High
$501.19
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$2,691.53
BCBS South Carolina
Setting
Professional
Modifier
RR · Rental
Typical Low
$213.80
Median
$269.15
Typical High
$501.19
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
$2,238.72
Typical High
$3,019.95
Medcost
Setting
Professional
Modifier
RR · Rental
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Medcost
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$2,238.72
Typical High
$2,884.03
Medcost
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$1,071.52
Typical High
$1,949.84
United
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,380.38
Typical High
$2,454.71
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$131.83
Median
$199.53
Typical High
$309.03
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
$1,659.59
Median
$1,659.59
Typical High
$1,659.59

Where South Carolina 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.

South Carolina· 24th 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.