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Ohio 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?

$3,090

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $3,631 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,090$2,951 to $3,890
FacilityA hospital or hospital-owned outpatient department$3,631$3,631 to $3,631

How much rates vary

Facilitymedian $3,631 · 10th to 90th $2,630 to $3,631Professionalmedian $3,090 · 10th to 90th $1,862 to $3,981
$200$500$1K$2K$5K$10Kfacility $3,631professional $3,090

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
RR · Rental
Typical Low
$676.08
Median
$933.25
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$3,890.45
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$295.12
Median
$323.59
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,951.21
CareSource
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$501.19
Typical High
$6,025.60
CareSource
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$446.68
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
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
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Medical Mutual of Ohio
Setting
Facility
Modifier
RR · Rental
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,630.78
Medical Mutual of Ohio
Setting
Professional
Modifier
RR · Rental
Typical Low
$309.03
Median
$309.03
Typical High
$363.08
Molina
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$524.81
Typical High
$3,630.78
SummaCare
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
United
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,995.26
Typical High
$3,467.37
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$186.21
Median
$281.84
Typical High
$371.54

Where Ohio 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.

Ohio· 28th of 51

$3,090

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.