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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 July 2026.

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

$10,233

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $10,233 for this service. The price depends on where it is billed: about $12,589 from a physician practice, and about $3,802 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 7 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$12,589$8,913 to $12,589
FacilityA hospital or hospital-owned outpatient department$3,802$912 to $7,413

How much rates vary

Facilitymedian $3,802 · 10th to 90th $525 to $11,220Professionalmedian $12,589 · 10th to 90th $5,012 to $13,183
$500$1K$2K$5K$10K$20K$50Kfacility $3,802professional $12,589

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
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$12,589.25
Typical High
$13,182.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$63,095.73
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$17,378.01
Typical High
$17,378.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$10,000.00
Typical High
$19,054.61
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$10,232.93
Typical High
$25,118.86
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$13,803.84
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,659.59
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,128.61
Typical High
$8,511.38

Where Michigan 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.

Michigan· 12th of 51

$10,233

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.