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Power Wheelchair, Group 3 Extra Heavy-Duty, Sling/Solid Seat

Iowa rates for HCPCS K0854

Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Rates data updated October 2026.

How much does Power Wheelchair, Group 3 Extra Heavy-Duty, Sling/Solid Seat cost?

$10,715

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $10,715 for this service. The price depends on where it is billed: about $12,589 from a physician practice, and about $9,120 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12,589$5,754 to $15,849
FacilityA hospital or hospital-owned outpatient department$9,120$9,120 to $16,218

How much rates vary

Facilitymedian $9,120 · 10th to 90th $2,239 to $19,953Professionalmedian $12,589 · 10th to 90th $5,370 to $18,621
$1K$2K$5K$10K$20Kfacility $9,120professional $12,589

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
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$7,244.36
Median
$13,803.84
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$10,715.19
Median
$19,952.62
Typical High
$25,118.86
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$14,125.38
Medica
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$9,120.11
Typical High
$19,952.62
Medica
Setting
Facility
Modifier
RR · Rental
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Medica
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$5,754.40
Typical High
$16,982.44
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$870.96
Typical High
$2,398.83
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
United
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$5,754.40
Typical High
$16,595.87
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$676.08
Median
$870.96
Typical High
$2,454.71
Wellmark
Setting
Professional
Modifier
None
Typical Low
$15,848.93
Median
$15,848.93
Typical High
$15,848.93
Wellmark
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
1 more rate 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
$5,495.41
Median
$10,232.93
Typical High
$14,125.38

Where Iowa 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.

Iowa· 12th of 51

$10,715

ND $19,953MS $1,820

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.