go back

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

Ohio 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 Ohio, 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 $10,000 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8,128$6,918 to $9,120
FacilityA hospital or hospital-owned outpatient department$10,000$10,000 to $10,000

How much rates vary

Facilitymedian $10,000 · 10th to 90th $8,913 to $10,000Professionalmedian $8,128 · 10th to 90th $3,890 to $10,000
$500$1K$2K$5K$10K$20Kfacility $10,000professional $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
$8,912.51
Median
$8,912.51
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
RR · Rental
Typical Low
$2,290.87
Median
$2,818.38
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$8,128.31
Median
$8,709.64
Typical High
$15,488.17
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$812.83
Median
$891.25
Typical High
$2,089.30
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,760.83
CareSource
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$1,659.59
Typical High
$9,332.54
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
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
$851.14
Typical High
$1,000.00
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Medical Mutual of Ohio
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$10,000.00
Medical Mutual of Ohio
Setting
Professional
Modifier
RR · Rental
Typical Low
$851.14
Median
$851.14
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$1,096.48
Typical High
$7,585.78
SummaCare
Setting
Professional
Modifier
None
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$5,011.87
Typical High
$7,244.36
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$467.74
Median
$691.83
Typical High
$891.25

Where Ohio 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.

Ohio· 32nd 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.