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

Iowa 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?

$10,000

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $10,000 for this service. The price depends on where it is billed: about $12,023 from a physician practice, and about $8,710 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12,023$5,495 to $15,136
FacilityA hospital or hospital-owned outpatient department$8,710$8,710 to $15,136

How much rates vary

Facilitymedian $8,710 · 10th to 90th $2,089 to $19,055Professionalmedian $12,023 · 10th to 90th $5,012 to $17,783
$1K$2K$5K$10K$20Kfacility $8,710professional $12,023

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
$17,782.79
Median
$17,782.79
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,918.31
Median
$12,882.50
Typical High
$17,782.79
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
$10,000.00
Median
$19,054.61
Typical High
$23,988.33
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$13,182.57
Medica
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$8,709.64
Typical High
$19,054.61
Medica
Setting
Facility
Modifier
RR · Rental
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Medica
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$5,495.41
Typical High
$15,848.93
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$588.84
Median
$812.83
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$5,495.41
Typical High
$15,488.17
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$645.65
Median
$812.83
Typical High
$2,344.23
Wellmark
Setting
Professional
Modifier
None
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
Wellmark
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
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
$5,248.07
Median
$9,772.37
Typical High
$13,182.57

Where Iowa 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.

Iowa· 14th of 51

$10,000

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.