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New Mexico 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 July 2026.

How much does HCPCS K0838 cost?

$2,630

Typical negotiated rate. In New Mexico, 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 $2,951 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 6 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$741 to $3,467
FacilityA hospital or hospital-owned outpatient department$2,951$1,862 to $3,236

How much rates vary

Facilitymedian $2,951 · 10th to 90th $309 to $3,631Professionalmedian $2,630 · 10th to 90th $398 to $3,631
$500$1K$2K$5Kfacility $2,951professional $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. 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
$2,630.27
Median
$3,467.37
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$3,090.30
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$741.31
Typical High
$6,025.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,951.21
Typical High
$4,365.16
Providence
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$3,090.30
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$446.68
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,041.74
Typical High
$3,311.31

Where New Mexico sits

The same service costs 3.4 times more in Kansas than in Oklahoma. 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 Mexico· 49th of 51

$2,630

KS $8,128OK $2,399

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.