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Power Wheelchair, Group 1 Standard, Captain's Chair

South Dakota 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?

$3,311

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $1,820 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 5 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$3,311$3,311 to $3,802
FacilityA hospital or hospital-owned outpatient department$1,820$324 to $3,236

How much rates vary

Facilitymedian $1,820 · 10th to 90th $275 to $5,623Professionalmedian $3,311 · 10th to 90th $977 to $4,467
$500$1K$2K$5K$10Kfacility $1,820professional $3,311

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
$3,311.31
Median
$3,801.89
Typical High
$3,801.89
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
$3,981.07
Median
$4,073.80
Typical High
$5,011.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$3,235.94
Typical High
$9,120.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,348.96
Typical High
$2,884.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84

Where South Dakota 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.

South Dakota· 3rd of 51

$3,311

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.