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South Carolina 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 South Carolina, 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,090$1,862 to $3,631
FacilityA hospital or hospital-owned outpatient department$3,631$3,090 to $3,631

How much rates vary

Facilitymedian $3,631 · 10th to 90th $3,090 to $3,981Professionalmedian $3,090 · 10th to 90th $1,549 to $4,365
$2K$5Kfacility $3,631professional $3,090

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
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,981.07
BCBS South Carolina
Setting
Facility
Modifier
RR · Rental
Typical Low
$588.84
Median
$660.69
Typical High
$660.69
BCBS South Carolina
Setting
Professional
Modifier
RR · Rental
Typical Low
$645.65
Median
$660.69
Typical High
$660.69
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
$3,630.78
Typical High
$3,630.78
Medcost
Setting
Professional
Modifier
RR · Rental
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Medcost
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$3,311.31
Typical High
$3,981.07
Medcost
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,570.88
United
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$3,162.28
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$186.21
Median
$281.84
Typical High
$398.11
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
$2,344.23
Median
$2,344.23
Typical High
$2,344.23

Where South Carolina 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.

South Carolina· 27th 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.