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Power Wheelchair, Group 3 Extra Heavy-Duty, Captain's Chair

Arizona rates for HCPCS K0855

Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more

Rates data updated October 2026.

How much does Power Wheelchair, Group 3 Extra Heavy-Duty, Captain's Chair cost?

$5,754

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $5,754 for this service. The price depends on where it is billed: about $8,511 from a physician practice, and about $3,236 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8,511$4,677 to $12,589
FacilityA hospital or hospital-owned outpatient department$3,236$1,820 to $10,000

How much rates vary

Facilitymedian $3,236 · 10th to 90th $550 to $12,589Professionalmedian $8,511 · 10th to 90th $4,266 to $13,490
$100$500$2K$10Kfacility $3,236professional $8,511

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
Professional
Modifier
None
Typical Low
$9,332.54
Median
$12,589.25
Typical High
$12,589.25
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$2,344.23
Typical High
$3,548.13
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$10,000.00
Median
$13,489.63
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$851.14
Median
$851.14
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$10,964.78
Typical High
$13,803.84
Medica
Setting
Facility
Modifier
RR · Rental
Typical Low
$3,311.31
Median
$7,762.47
Typical High
$7,762.47
Medica
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$4,677.35
Typical High
$7,244.36
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$426.58
Median
$660.69
Typical High
$776.25
United
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$4,677.35
Typical High
$7,585.78
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$426.58
Median
$691.83
Typical High
$776.25
1 more rate 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
$7,079.46
Median
$9,332.54
Typical High
$9,332.54

Where Arizona sits

The same service costs 10.7 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.

Arizona· 49th of 51

$5,754

ND $18,621MS $1,738

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.