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

Montana 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.

Facilitymedian $8,913 · 10th–90th $813$11,2200%10%20%10th90th$8,913Professionalmedian $10,000 · 10th–90th $79$12,8820%20%40%10th90th$10,000$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12,882.50
Median
$12,882.50
Typical High
$12,882.50
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
$10,964.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$10,471.29
Typical High
$13,182.57
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,096.48
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,677.35
Typical High
$7,079.46