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Pennsylvania 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?

$3,548

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,311 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$3,311$2,951 to $4,074
FacilityA hospital or hospital-owned outpatient department$3,631$3,631 to $16,596

How much rates vary

Facilitymedian $3,631 · 10th to 90th $3,631 to $25,704Professionalmedian $3,311 · 10th to 90th $2,089 to $5,370
$2K$5K$10K$20K$50Kfacility $3,631professional $3,311

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
$2,951.21
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,344.23
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$2,884.03
Typical High
$3,311.31
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
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$309.03
Median
$309.03
Typical High
$363.08
Emblem Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$467.74
Median
$467.74
Typical High
$512.86
Geisinger
Setting
Facility
Modifier
RR · Rental
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Geisinger
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,365.16
Geisinger
Setting
Professional
Modifier
RR · Rental
Typical Low
$309.03
Median
$371.54
Typical High
$512.86
Geisinger
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,454.71
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,090.30
Martin's Point
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,344.23
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$18,197.01
Typical High
$31,622.78
UPMC Health Plan
Setting
Facility
Modifier
RR · Rental
Typical Low
$416.87
Median
$2,570.40
Typical High
$4,365.16
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$5,370.32
Typical High
$5,370.32
UPMC Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$416.87
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,995.26
Typical High
$3,235.94
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$194.98
Median
$281.84
Typical High
$467.74

Where Pennsylvania 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.

Pennsylvania· 20th of 51

$3,548

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.