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Pennsylvania rates for HCPCS K0842

Power wheelchair, group 2 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds

Rates data updated October 2026.

How much does HCPCS K0842 cost?

$3,548

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,162 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,162$2,951 to $3,981
FacilityA hospital or hospital-owned outpatient department$3,631$3,631 to $16,596

How much rates vary

Facilitymedian $3,631 · 10th to 90th $3,631 to $25,704Professionalmedian $3,162 · 10th to 90th $2,089 to $5,370
$2K$5K$10K$20K$50Kfacility $3,631professional $3,162

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
$2,951.21
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,290.87
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$2,818.38
Typical High
$3,311.31
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
$309.03
Typical High
$363.08
Emblem Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$467.74
Median
$467.74
Typical High
$501.19
Geisinger
Setting
Facility
Modifier
RR · Rental
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Geisinger
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,365.16
Geisinger
Setting
Professional
Modifier
RR · Rental
Typical Low
$302.00
Median
$371.54
Typical High
$501.19
Geisinger
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,454.71
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,090.30
Martin's Point
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,290.87
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$18,197.01
Typical High
$31,622.78
UPMC Health Plan
Setting
Facility
Modifier
RR · Rental
Typical Low
$407.38
Median
$2,511.89
Typical High
$4,365.16
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$5,370.32
Typical High
$5,370.32
UPMC Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$407.38
Median
$416.87
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,995.26
Typical High
$3,388.44
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$190.55
Median
$275.42
Typical High
$467.74

Where Pennsylvania sits

The same service costs 9.3 times more in Kansas than in Illinois. 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.

Pennsylvania· 17th of 51

$3,548

KS $5,754IL $617

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.