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Virginia 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?

$3,020

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $2,818 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 7 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$3,020$2,951 to $3,020
FacilityA hospital or hospital-owned outpatient department$2,818$417 to $3,388

How much rates vary

Facilitymedian $2,818 · 10th to 90th $316 to $4,571Professionalmedian $3,020 · 10th to 90th $2,138 to $3,090
$200$500$1K$2K$5Kfacility $2,818professional $3,020

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,019.95
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,630.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,019.95
Typical High
$4,265.80
Sentara
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$616.60
Typical High
$5,248.07
Sentara
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$616.60
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$512.86
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$3,388.44

Where Virginia sits

The same service costs 3.4 times more in Kansas than in Oklahoma. 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.

Virginia· 34th of 51

$3,020

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.