go back

Heavy-Duty Wheelchair

New York rates for HCPCS K0006

Heavy-duty wheelchair

Rates data updated July 2026.

How much does Heavy-Duty Wheelchair cost?

$617

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $355 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 9 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$617$479 to $776
FacilityA hospital or hospital-owned outpatient department$355$72.44 to $513

How much rates vary

Facilitymedian $355 · 10th to 90th $51 to $646Professionalmedian $617 · 10th to 90th $437 to $933
$50$100$200$500$1Kfacility $355professional $617

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
Professional
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$812.83
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$1,380.38
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$616.60
Typical High
$741.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$741.31
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$1,096.48
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$316.23
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$457.09
Typical High
$776.25
Univera
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$1,023.29
Univera
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$1,096.48

Where New York sits

The same service costs 4.6 times more in Kansas than in Washington, DC. 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.

New York· 14th of 51

$617

KS $1,660DC $363

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.