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

Idaho 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?

$7,586

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $7,586 for this service. The price depends on where it is billed: about $7,244 from a physician practice, and about $8,318 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$7,244$1,862 to $11,749
FacilityA hospital or hospital-owned outpatient department$8,318$2,089 to $11,220

How much rates vary

Facilitymedian $8,318 · 10th to 90th $1,585 to $18,197Professionalmedian $7,244 · 10th to 90th $1,738 to $12,303
$1K$2K$5K$10K$20Kfacility $8,318professional $7,244

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
$9,549.93
Median
$18,197.01
Typical High
$18,197.01
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$2,630.27
Typical High
$17,782.79
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$11,748.98
Typical High
$12,302.69
BCBS Idaho
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,737.80
Median
$1,862.09
Typical High
$1,862.09
BCBS Idaho
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$1,380.38
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
$1,000.00
Typical High
$1,000.00
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$9,549.93
Typical High
$18,197.01
Moda Health
Setting
Professional
Modifier
None
Typical Low
$9,549.93
Median
$18,197.01
Typical High
$18,197.01
Molina
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$1,778.28
Typical High
$7,943.28
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$2,187.76
MountainHealth Co-op
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$1,778.28
Regence BlueShield
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,548.82
Median
$1,621.81
Typical High
$2,398.83
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$12,302.69
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$2,454.71
Typical High
$11,220.18
Select Health
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$2,187.76
Typical High
$11,220.18
United
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$4,677.35
Typical High
$7,244.36
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$645.65
Median
$691.83
Typical High
$1,096.48

Where Idaho 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.

Idaho· 44th of 51

$7,586

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.