go back

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

Wisconsin rates for HCPCS K0851

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

Rates data updated October 2026.

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

$9,120

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $9,120 for this service. The price depends on where it is billed: about $9,120 from a physician practice, and about $10,965 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9,120$5,248 to $10,965
FacilityA hospital or hospital-owned outpatient department$10,965$7,079 to $14,791

How much rates vary

Facilitymedian $10,965 · 10th to 90th $6,607 to $20,417Professionalmedian $9,120 · 10th to 90th $3,311 to $12,882
$1K$2K$5K$10K$20K$50Kfacility $10,965professional $9,120

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$12,022.64
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$10,964.78
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$524.81
Median
$1,096.48
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$29,512.09
Typical High
$45,708.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$11,220.18
Typical High
$15,488.17
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$549.54
Median
$660.69
Typical High
$660.69
DeanCare
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$7,079.46
Typical High
$8,511.38
DeanCare
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Medica
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$7,079.46
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$3,715.35
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$380.19
Median
$537.03
Typical High
$1,122.02
Network Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$524.81
Median
$977.24
Typical High
$1,698.24
Prevea360
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$7,079.46
Typical High
$8,511.38
Prevea360
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Quartz
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$2,290.87
Quartz
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Quartz
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$6,606.93
United
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,715.35
Typical High
$7,585.78
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$354.81
Median
$537.03
Typical High
$1,096.48
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$3,801.89
Median
$3,890.45
Typical High
$3,890.45

Where Wisconsin sits

The same service costs 11.0 times more in North Dakota than in Mississippi. 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· 5th of 51

$9,120

ND $12,303MS $1,122

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.