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Maryland rates for HCPCS K0838

Power wheelchair, group 2 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds

Rates data updated October 2026.

How much does HCPCS K0838 cost?

$3,715

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $3,715 for this service. Most negotiated rates run $2,951 to $4,898.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,631 · 10th to 90th $3,631 to $3,631Professionalmedian $3,981 · 10th to 90th $2,042 to $4,898
$2K$5Kfacility $3,631professional $3,981

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
Professional
Modifier
None
Typical Low
$2,884.03
Median
$2,951.21
Typical High
$3,715.35
CareFirst
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
CareFirst
Setting
Professional
Modifier
RR · Rental
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$309.03
Median
$309.03
Typical High
$363.08
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
United
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$3,890.45
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$181.97
Median
$295.12
Typical High
$446.68
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$5,011.87
Typical High
$5,011.87
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
$2,187.76
Median
$2,187.76
Typical High
$2,754.23

Where Maryland sits

The same service costs 12.6 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.

Maryland· 14th of 51

$3,715

KS $8,128MT $646

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.