go back

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

Kentucky 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 July 2026.

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

$9,333

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $9,333 for this service. The price depends on where it is billed: about $9,333 from a physician practice, and about $4,467 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 6 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$9,333$8,710 to $10,000
FacilityA hospital or hospital-owned outpatient department$4,467$1,096 to $8,128

How much rates vary

Facilitymedian $4,467 · 10th to 90th $575 to $10,715Professionalmedian $9,333 · 10th to 90th $6,310 to $11,220
$500$1K$2K$5K$10Kfacility $4,467professional $9,333

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
$7,585.78
Median
$7,585.78
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$9,332.54
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$9,120.11
Typical High
$9,549.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,511.89
Typical High
$10,964.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,884.03
Typical High
$16,218.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$10,000.00
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$9,120.11
Typical High
$10,715.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$870.96
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$2,630.27
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,370.32
Typical High
$7,762.47

Where Kentucky sits

The same service costs 2.5 times more in Minnesota 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.

Kentucky· 27th of 51

$9,333

MN $16,596DC $6,607

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.