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

Texas 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?

$9,120

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $9,120 for this service. The price depends on where it is billed: about $8,913 from a physician practice, and about $10,715 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8,913$3,802 to $9,333
FacilityA hospital or hospital-owned outpatient department$10,715$8,710 to $11,749

How much rates vary

Facilitymedian $10,715 · 10th to 90th $6,607 to $11,749Professionalmedian $8,913 · 10th to 90th $933 to $10,715
$100$200$500$1K$2K$5K$10Kfacility $10,715professional $8,913

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
$8,511.38
Median
$9,120.11
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$10,000.00
Typical High
$13,489.63
Christus
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
Christus
Setting
Facility
Modifier
RR · Rental
Typical Low
$707.95
Median
$707.95
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$9,120.11
Median
$10,715.19
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,071.52
Moda Health
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$9,772.37
Typical High
$12,302.69
Moda Health
Setting
Professional
Modifier
None
Typical Low
$8,128.31
Median
$9,772.37
Typical High
$13,489.63
Molina
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$933.25
Typical High
$9,332.54
Providence
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$10,715.19
Typical High
$11,748.98
Providence
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
None
Typical Low
$9,120.11
Median
$10,715.19
Typical High
$10,715.19
Providence
Setting
Professional
Modifier
RR · Rental
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$4,570.88
Typical High
$5,888.44
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$331.13
Median
$616.60
Typical High
$851.14
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$11,220.18
2 more rates 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
$6,456.54
Median
$7,585.78
Typical High
$10,232.93
Moda Health
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,456.54
Median
$7,413.10
Typical High
$10,232.93

Where Texas 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.

Texas· 22nd of 51

$9,120

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.