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Extra Heavy-Duty Wheelchair

Wisconsin rates for HCPCS K0007

Extra heavy-duty wheelchair

Rates data updated July 2026.

How much does Extra Heavy-Duty Wheelchair cost?

$933

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $977 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$933$724 to $1,023
FacilityA hospital or hospital-owned outpatient department$977$513 to $1,995

How much rates vary

Facilitymedian $977 · 10th to 90th $110 to $2,512Professionalmedian $933 · 10th to 90th $427 to $1,230
$100$200$500$1K$2K$5Kfacility $977professional $933

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
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,995.26
Typical High
$1,995.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$977.24
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,230.27
Typical High
$2,089.30
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$933.25
Typical High
$1,318.26
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$1,122.02
Typical High
$4,897.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$69.18
Typical High
$831.76
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$933.25
Typical High
$1,318.26
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Quartz
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$281.84
Quartz
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,511.89
Typical High
$5,128.61
Quartz
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$812.83
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$446.68
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$1,047.13

Where Wisconsin 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.

Wisconsin· 10th of 51

$933

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.