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Power Wheelchair, Group 2 Extra Heavy-Duty, Sling/Solid Seat

New York rates for HCPCS K0828

Power wheelchair, group 2 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Rates data updated July 2026.

How much does Power Wheelchair, Group 2 Extra Heavy-Duty, Sling/Solid Seat cost?

$5,129

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5,129 for this service. The price depends on where it is billed: about $5,129 from a physician practice, and about $3,236 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$5,129$4,677 to $6,310
FacilityA hospital or hospital-owned outpatient department$3,236$676 to $5,888

How much rates vary

Facilitymedian $3,236 · 10th to 90th $479 to $7,943Professionalmedian $5,129 · 10th to 90th $3,311 to $10,471
$100$200$500$1K$2K$5K$10Kfacility $3,236professional $5,129

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
$3,162.28
Median
$6,309.57
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,128.61
Typical High
$8,511.38
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$13,182.57
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$6,606.93
Typical High
$7,943.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$6,918.31
Typical High
$6,918.31
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,071.52
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$4,265.80
Typical High
$6,760.83
Univera
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,025.60
Typical High
$6,918.31
Univera
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,918.31

Where New York sits

The same service costs 2.6 times more in Minnesota 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.

New York· 45th of 51

$5,129

MN $11,482OR $4,467

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.