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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 July 2026.

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

$8,913

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $8,913 for this service. The price depends on where it is billed: about $8,913 from a physician practice, and about $5,248 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 8 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$8,913$8,128 to $10,000
FacilityA hospital or hospital-owned outpatient department$5,248$1,660 to $9,333

How much rates vary

Facilitymedian $5,248 · 10th to 90th $537 to $11,220Professionalmedian $8,913 · 10th to 90th $4,898 to $14,454
$500$1K$2K$5K$10K$20Kfacility $5,248professional $8,913

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
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$8,912.51
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$9,120.11
Typical High
$17,782.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,659.59
Typical High
$9,332.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$10,000.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,715.19
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$10,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,412.54
Typical High
$8,317.64
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$13,803.84
Typical High
$18,620.87
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,659.59
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$5,011.87
Typical High
$7,943.28

Where Ohio 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.

Ohio· 28th of 51

$8,913

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.