go back

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

New York 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?

$8,511

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $8,511 for this service. The price depends on where it is billed: about $8,511 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 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$8,511$7,244 to $10,233
FacilityA hospital or hospital-owned outpatient department$4,467$933 to $7,762

How much rates vary

Facilitymedian $4,467 · 10th to 90th $589 to $10,715Professionalmedian $8,511 · 10th to 90th $4,571 to $16,596
$100$500$2K$10Kfacility $4,467professional $8,511

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
$4,365.16
Median
$10,232.93
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$8,511.38
Typical High
$16,982.44
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$19,054.61
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$9,120.11
Typical High
$10,715.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7,762.47
Median
$9,772.37
Typical High
$9,772.37
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,778.28
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$5,754.40
Typical High
$9,120.11
Univera
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,317.64
Typical High
$9,772.37
Univera
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$9,772.37

Where New York 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.

New York· 38th of 51

$8,511

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.