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Extra Heavy-Duty Wheelchair

New York rates for HCPCS K0007

Extra heavy-duty wheelchair

Rates data updated July 2026.

How much does Extra Heavy-Duty Wheelchair cost?

$851

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $501 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$851$676 to $1,096
FacilityA hospital or hospital-owned outpatient department$501$105 to $741

How much rates vary

Facilitymedian $501 · 10th to 90th $71 to $1,000Professionalmedian $851 · 10th to 90th $617 to $1,288
$100$200$500$1K$2Kfacility $501professional $851

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
$676.08
Median
$1,096.48
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$851.14
Typical High
$1,122.02
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$1,949.84
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$812.83
Typical High
$1,096.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,096.48
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$1,513.56
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$446.68
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$630.96
Typical High
$1,096.48
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$1,445.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$1,513.56

Where New York sits

The same service costs 3.1 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· 16th of 51

$851

KS $1,622DC $525

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.