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

South Dakota 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?

$11,220

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $11,220 for this service. The price depends on where it is billed: about $11,220 from a physician practice, and about $7,762 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 5 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$11,220$10,965 to $15,136
FacilityA hospital or hospital-owned outpatient department$7,762$1,175 to $10,965

How much rates vary

Facilitymedian $7,762 · 10th to 90th $813 to $19,055Professionalmedian $11,220 · 10th to 90th $4,365 to $19,055
$1K$2K$5K$10K$20Kfacility $7,762professional $11,220

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
$11,220.18
Median
$15,135.61
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$23,988.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$10,964.78
Typical High
$30,902.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$5,370.32
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,174.90
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$4,365.16
Typical High
$11,481.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61

Where South Dakota 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.

South Dakota· 6th of 51

$11,220

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.