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

Pennsylvania 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?

$8,710

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $8,710 for this service. The price depends on where it is billed: about $8,710 from a physician practice, and about $10,000 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$8,710$5,495 to $9,120
FacilityA hospital or hospital-owned outpatient department$10,000$3,715 to $47,863

How much rates vary

Facilitymedian $10,000 · 10th to 90th $759 to $63,096Professionalmedian $8,710 · 10th to 90th $4,169 to $10,471
$1K$2K$5K$10K$20K$50Kfacility $10,000professional $8,710

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
$4,168.69
Median
$8,709.64
Typical High
$10,232.93
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$9,772.37
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$19,054.61
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$12,882.50
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$9,120.11
Typical High
$10,232.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$57,543.99
Typical High
$75,857.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,096.48
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,495.41
Typical High
$9,120.11

Where Pennsylvania 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.

Pennsylvania· 30th of 51

$8,710

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.