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

Wisconsin 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?

$14,791

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $14,791 for this service. The price depends on where it is billed: about $14,791 from a physician practice, and about $17,783 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14,791$8,511 to $17,783
FacilityA hospital or hospital-owned outpatient department$17,783$11,482 to $23,988

How much rates vary

Facilitymedian $17,783 · 10th to 90th $10,715 to $33,884Professionalmedian $14,791 · 10th to 90th $5,370 to $20,893
$1K$2K$5K$10K$20K$50Kfacility $17,783professional $14,791

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
$14,791.08
Median
$14,791.08
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$14,791.08
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$19,498.45
Typical High
$29,512.09
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$17,782.79
Typical High
$21,877.62
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$851.14
Median
$1,778.28
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$48,977.88
Typical High
$74,131.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$9,120.11
Median
$18,197.01
Typical High
$25,118.86
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,071.52
DeanCare
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$11,481.54
Typical High
$13,803.84
DeanCare
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Medica
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$11,481.54
Typical High
$16,218.10
Medica
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$6,025.60
Typical High
$12,882.50
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$870.96
Typical High
$1,862.09
Network Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$851.14
Median
$1,621.81
Typical High
$2,754.23
Prevea360
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$11,481.54
Typical High
$13,803.84
Prevea360
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Quartz
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,344.23
Typical High
$3,715.35
Quartz
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Quartz
Setting
Professional
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$10,715.19
United
Setting
Professional
Modifier
None
Typical Low
$4,073.80
Median
$6,025.60
Typical High
$12,302.69
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$575.44
Median
$870.96
Typical High
$1,778.28
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
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54

Where Wisconsin 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.

Wisconsin· 5th of 51

$14,791

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.