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

Michigan 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?

$12,589

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $12,589 for this service. The price depends on where it is billed: about $12,589 from a physician practice, and about $22,909 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$12,589$5,495 to $16,218
FacilityA hospital or hospital-owned outpatient department$22,909$10,000 to $53,703

How much rates vary

Facilitymedian $22,909 · 10th to 90th $10,000 to $77,625Professionalmedian $12,589 · 10th to 90th $4,169 to $25,119
$2K$5K$10K$20K$50K$100Kfacility $22,909professional $12,589

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
$15,135.61
Median
$15,135.61
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$14,125.38
Median
$15,488.17
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$11,220.18
Median
$11,481.54
Typical High
$11,481.54
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$51,286.14
Typical High
$95,499.26
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$12,302.69
Typical High
$17,378.01
BCBS Michigan
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$6,760.83
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
$10,000.00
Typical High
$10,000.00
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$20,892.96
Typical High
$22,908.68
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$12,589.25
Typical High
$25,118.86
Health Alliance Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$467.74
Median
$1,348.96
Typical High
$1,659.59
Health Alliance Plan
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,606.93
Median
$15,135.61
Typical High
$19,054.61
Priority Health
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Priority Health
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$5,011.87
Typical High
$7,244.36
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$489.78
Median
$691.83
Typical High
$912.01

Where Michigan 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.

Michigan· 7th of 51

$12,589

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.