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

New York rates for HCPCS K0853

Power wheelchair, group 3 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds

Rates data updated July 2026.

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

$6,457

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $6,457 from a physician practice, and about $3,388 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$6,457$5,370 to $7,762
FacilityA hospital or hospital-owned outpatient department$3,388$708 to $5,888

How much rates vary

Facilitymedian $3,388 · 10th to 90th $447 to $8,128Professionalmedian $6,457 · 10th to 90th $3,715 to $12,589
$100$500$2K$10Kfacility $3,388professional $6,457

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
$3,311.31
Median
$7,762.47
Typical High
$12,589.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$6,456.54
Typical High
$10,964.78
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$14,125.38
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$6,918.31
Typical High
$8,128.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$7,413.10
Typical High
$7,413.10
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,348.96
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$4,365.16
Typical High
$7,244.36
Univera
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,309.57
Typical High
$7,413.10
Univera
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$7,413.10

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. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 38th of 51

$6,457

MN $12,303UT $4,898

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.