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Washington 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?

$2,818

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $2,344 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$2,951$1,288 to $3,890
FacilityA hospital or hospital-owned outpatient department$2,344$490 to $4,898

How much rates vary

Facilitymedian $2,344 · 10th to 90th $490 to $4,898Professionalmedian $2,951 · 10th to 90th $407 to $4,677
$100$200$500$1K$2K$5Kfacility $2,344professional $2,951

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
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$5,248.07
Asuris Northwest Health
Setting
Facility
Modifier
RR · Rental
Typical Low
$389.05
Median
$478.63
Typical High
$537.03
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$4,786.30
Typical High
$5,623.41
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
$3,090.30
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$309.03
Median
$309.03
Typical High
$363.08
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$1,698.24
Typical High
$5,623.41
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$1,698.24
Typical High
$5,623.41
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$616.60
Typical High
$4,168.69
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$4,897.79
Premera BCBS
Setting
Facility
Modifier
RR · Rental
Typical Low
$489.78
Median
$489.78
Typical High
$954.99
Premera BCBS
Setting
Facility
Modifier
UE · Used equipment
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$954.99
Typical High
$4,073.80
Premera BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$407.38
Median
$407.38
Typical High
$489.78
Premera BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,000.00
Median
$3,090.30
Typical High
$3,630.78
Regence BlueShield
Setting
Facility
Modifier
RR · Rental
Typical Low
$478.63
Median
$478.63
Typical High
$537.03
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$4,786.30
Typical High
$5,623.41
United
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$3,311.31
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$281.84
Median
$281.84
Typical High
$478.63
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
4 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
Premera BCBS
Setting
Facility
Modifier
KR · Partial-month rental
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Premera BCBS
Setting
Facility
Modifier
NR · New when rented
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Premera BCBS
Setting
Professional
Modifier
KR · Partial-month rental
Typical Low
$13.80
Median
$13.80
Typical High
$33.11
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,897.79

Where Washington 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.

Washington· 44th of 51

$2,818

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.