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

New Mexico 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?

$7,586

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $7,586 for this service. The price depends on where it is billed: about $7,586 from a physician practice, and about $6,166 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 5 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$7,586$7,079 to $10,233
FacilityA hospital or hospital-owned outpatient department$6,166$3,981 to $8,913

How much rates vary

Facilitymedian $6,166 · 10th to 90th $646 to $10,233Professionalmedian $7,586 · 10th to 90th $3,981 to $10,233
$500$1K$2K$5K$10Kfacility $6,166professional $7,586

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$10,232.93
Typical High
$10,232.93
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
$8,511.38
Typical High
$10,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,454.71
Typical High
$12,882.50
Providence
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,709.64
Typical High
$12,589.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$8,511.38
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
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
$7,413.10

Where New Mexico 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.

New Mexico· 40th of 51

$7,586

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.