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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 July 2026.

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

$8,913

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $8,913 for this service. The price depends on where it is billed: about $9,550 from a physician practice, and about $7,586 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9,550$5,370 to $13,804
FacilityA hospital or hospital-owned outpatient department$7,586$1,585 to $10,471

How much rates vary

Facilitymedian $7,586 · 10th to 90th $1,585 to $12,882Professionalmedian $9,550 · 10th to 90th $1,738 to $18,197
$1K$2K$5K$10Kfacility $7,586professional $9,550

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$9,549.93
Typical High
$18,197.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$15,848.93
Typical High
$17,782.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$11,748.98
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$8,511.38
Typical High
$10,000.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$8,317.64
Typical High
$13,489.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,778.28
Typical High
$7,943.28
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$12,302.69
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$11,481.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$2,187.76
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,096.48
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,677.35
Typical High
$7,413.10

Where Idaho sits

The same service costs 2.5 times more in Minnesota than in Utah. 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· 26th of 51

$8,913

MN $15,488UT $6,166

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.