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South Dakota 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?

$4,365

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $3,090 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 5 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$4,365$3,715 to $5,248
FacilityA hospital or hospital-owned outpatient department$3,090$468 to $4,169

How much rates vary

Facilitymedian $3,090 · 10th to 90th $347 to $7,413Professionalmedian $4,365 · 10th to 90th $1,288 to $5,888
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,090professional $4,365

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
$4,365.16
Median
$4,897.79
Typical High
$5,248.07
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
$5,754.40
Median
$5,888.44
Typical High
$7,244.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,168.69
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,187.76
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,548.82
Typical High
$3,715.35
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44

Where South Dakota sits

The same service costs 3.4 times more in Kansas than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $4,365 · 4th of 51
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.