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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 October 2026.

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

$8,710

Typical negotiated rate. In Pennsylvania, October 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.

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$8,710$8,318 to $10,471
FacilityA hospital or hospital-owned outpatient department$10,000$10,000 to $34,674

How much rates vary

Facilitymedian $10,000 · 10th to 90th $8,511 to $53,703Professionalmedian $8,710 · 10th to 90th $5,370 to $15,488
$2K$5K$10K$20K$50K$100Kfacility $10,000professional $8,710

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
$8,709.64
Median
$9,120.11
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,760.83
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$8,317.64
Typical High
$10,964.78
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
$10,000.00
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$851.14
Median
$851.14
Typical High
$1,000.00
Emblem Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,659.59
Geisinger
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Geisinger
Setting
Professional
Modifier
None
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$12,882.50
Geisinger
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,000.00
Median
$1,174.90
Typical High
$1,659.59
Geisinger
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$6,456.54
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$9,120.11
Martin's Point
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,760.83
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$38,904.51
Typical High
$66,069.34
UPMC Health Plan
Setting
Facility
Modifier
RR · Rental
Typical Low
$912.01
Median
$5,370.32
Typical High
$9,120.11
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$15,488.17
Typical High
$15,488.17
UPMC Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$3,630.78
Median
$5,495.41
Typical High
$7,762.47
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$489.78
Median
$812.83
Typical High
$1,096.48

Where Pennsylvania 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.

Pennsylvania· 20th of 51

$8,710

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.