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HCPCS K0806 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds
Key FactDetail
Service Type

Durable medical equipment (DME) Medicare administrative contractors (MACs)

Power Operated Vehicles

Complexity LevelHigh
Medicaid Fee ScheduleView Medicaid rates for K0806

National average reimbursement for HCPCS K0806 by major payers:

bcbs

$1,122.65

uhc

$1,002.17

aetna

$468.37

cigna

$2,035.65

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS K0806.

HCPCS K0806
5 of 25 sample ratesHigher to lower in this preview
  1. Emory University, Emory University Hospital

    Emory University

    GAGeneral Acute Care HospitalNPI 1588640692Tax ID 58-0566256

    $3,335.12Published rate
  2. Emanuel County Hospital Authority, Emanuel Medical Center

    GARural Acute Care HospitalNPI 1235129214Tax ID 58-6002922

    $886.08Published rate
  3. Ty Cobb Healthcare System, Cobb Memorial Hospital

    Community Services Group Inc

    GARural Acute Care HospitalNPI 1083711691Tax ID 58-0633978

    $762.40Published rate
  4. Ty Cobb Healthcare System, Cobb Memorial Hospital

    Community Services Group Inc

    GARural Acute Care HospitalNPI 1083711691Tax ID 58-0633978

    $101.65Published rate
  5. Northeast Georgia Medical Center, Inc.

    Gainesville Radiology Group

    GAGeneral Acute Care HospitalNPI 1427055821Tax ID 58-1177261

    $85.93Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS K0806 vs. Other Power Operated Vehicles Codes

The HCPCS K0806 code is part of the Durable medical equipment (DME) Medicare administrative contractors (MACs) services used for Power Operated Vehicles. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS K0806 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
K0802-HCPCSHighPower operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds
K0806-HCPCSHighPower operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds
K0807-HCPCSHighPower operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0806. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the K0806 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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