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Texas 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?

$2,951

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $2,344 from a physician practice, and about $3,388 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,344$427 to $3,631
FacilityA hospital or hospital-owned outpatient department$3,388$3,236 to $3,631

How much rates vary

Facilitymedian $3,388 · 10th to 90th $2,951 to $4,365Professionalmedian $2,344 · 10th to 90th $398 to $4,266
$100$200$500$1K$2K$5Kfacility $3,388professional $2,344

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
$2,754.23
Median
$2,951.21
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$3,311.31
Typical High
$4,365.16
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Christus
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Christus
Setting
Facility
Modifier
RR · Rental
Typical Low
$204.17
Median
$204.17
Typical High
$512.86
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
$363.08
Typical High
$363.08
Moda Health
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$3,388.44
Typical High
$4,365.16
Moda Health
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$3,235.94
Typical High
$4,365.16
Molina
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$426.58
Typical High
$4,265.80
Providence
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$3,630.78
Typical High
$4,365.16
Providence
Setting
Facility
Modifier
RR · Rental
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Providence
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$3,630.78
Providence
Setting
Professional
Modifier
RR · Rental
Typical Low
$309.03
Median
$363.08
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,862.09
Typical High
$2,818.38
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$151.36
Median
$234.42
Typical High
$363.08
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$5,011.87
2 more rates 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
$2,089.30
Median
$2,454.71
Typical High
$3,311.31
Moda Health
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,089.30
Median
$2,344.23
Typical High
$3,311.31

Where Texas 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.

Texas· 39th of 51

$2,951

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.