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

Pennsylvania 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?

$9,120

Typical negotiated rate. In Pennsylvania, July 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 $6,918 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 7 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$9,120$5,754 to $9,550
FacilityA hospital or hospital-owned outpatient department$6,918$1,122 to $10,715

How much rates vary

Facilitymedian $6,918 · 10th to 90th $724 to $30,200Professionalmedian $9,120 · 10th to 90th $4,365 to $11,482
$1K$2K$5K$10K$20K$50Kfacility $6,918professional $9,120

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. Small sample; interpret with caution. 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
$9,120.11
Typical High
$10,715.19
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$10,232.93
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$19,952.62
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$13,489.63
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$9,549.93
Typical High
$10,715.19
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$60,255.96
Typical High
$81,283.05
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$16,595.87
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,148.15
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,754.40
Typical High
$9,772.37

Where Pennsylvania 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.

Pennsylvania· 32nd of 51

$9,120

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.