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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 July 2026.

How much does HCPCS K0842 cost?

$3,090

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $3,631 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$3,090$2,754 to $3,311
FacilityA hospital or hospital-owned outpatient department$3,631$1,862 to $22,387

How much rates vary

Facilitymedian $3,631 · 10th to 90th $316 to $30,200Professionalmedian $3,090 · 10th to 90th $1,995 to $3,715
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,631professional $3,090

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
$1,995.26
Median
$2,951.21
Typical High
$3,388.44
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$5,754.40
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,365.16
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,951.21
Typical High
$3,388.44
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$27,542.29
Typical High
$36,307.81
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,370.32
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$501.19
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,041.74
Typical High
$4,265.80

Where Pennsylvania sits

The same service costs 2.9 times more in Kansas than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $3,090 · 27th of 51
KS $5,754MT $1,995

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.