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Power Wheelchair, Group 3 Heavy-Duty, Captain's Chair

New York rates for HCPCS K0851

Power wheelchair, group 3 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds

Rates data updated July 2026.

How much does Power Wheelchair, Group 3 Heavy-Duty, Captain's Chair cost?

$5,248

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $5,248 from a physician practice, and about $2,754 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 8 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$5,248$4,365 to $6,310
FacilityA hospital or hospital-owned outpatient department$2,754$575 to $4,677

How much rates vary

Facilitymedian $2,754 · 10th to 90th $355 to $6,607Professionalmedian $5,248 · 10th to 90th $2,951 to $10,233
$50.0$200.0$1.0K$5.0K$20.0Kfacility $2,754professional $5,248

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
$2,691.53
Median
$6,309.57
Typical High
$10,232.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,248.07
Typical High
$10,471.29
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$11,481.54
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$5,495.41
Typical High
$6,606.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$5,888.44
Typical High
$5,888.44
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,096.48
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$3,548.13
Typical High
$5,888.44
Univera
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,128.61
Typical High
$5,888.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,888.44

Where New York sits

The same service costs 2.5 times more in Minnesota than in Utah. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $5,248 · 40th of 51
MN $10,000UT $3,981

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.