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

Kentucky 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?

$8,128

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $8,128 for this service. The price depends on where it is billed: about $8,128 from a physician practice, and about $9,120 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8,128$6,026 to $8,710
FacilityA hospital or hospital-owned outpatient department$9,120$5,495 to $10,000

How much rates vary

Facilitymedian $9,120 · 10th to 90th $1,479 to $12,023Professionalmedian $8,128 · 10th to 90th $4,898 to $10,000
$100$200$500$1K$2K$5K$10Kfacility $9,120professional $8,128

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
$9,120.11
Median
$9,120.11
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$8,912.51
Median
$12,022.64
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,606.93
Median
$8,912.51
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$6,025.60
Median
$8,128.31
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$602.56
Median
$812.83
Typical High
$912.01
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,398.83
Typical High
$10,471.29
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,691.53
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$8,912.51
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$338.84
Median
$1,412.54
Typical High
$2,290.87
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
$1,348.96
Molina
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,513.56
Typical High
$8,128.31
United
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$4,897.79
Typical High
$6,760.83
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$457.09
Median
$741.31
Typical High
$1,258.93

Where Kentucky 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.

Kentucky· 27th of 51

$8,128

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.