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

South Carolina 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 South Carolina, 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8,128$6,607 to $8,128
FacilityA hospital or hospital-owned outpatient department$10,000$9,120 to $10,965

How much rates vary

Facilitymedian $10,000 · 10th to 90th $9,120 to $11,482Professionalmedian $8,128 · 10th to 90th $4,898 to $9,120
$5K$10Kfacility $10,000professional $8,128

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
BCBS South Carolina
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,513.56
Median
$1,659.59
Typical High
$1,659.59
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$6,606.93
Median
$8,128.31
Typical High
$8,128.31
BCBS South Carolina
Setting
Professional
Modifier
RR · Rental
Typical Low
$660.69
Median
$812.83
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$10,000.00
Typical High
$10,000.00
Medcost
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Medcost
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$9,549.93
Typical High
$11,748.98
Medcost
Setting
Professional
Modifier
None
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,549.93
United
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$4,677.35
Typical High
$6,456.54
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$478.63
Median
$660.69
Typical High
$870.96
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83

Where South Carolina 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.

South Carolina· 33rd 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.