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

Tennessee 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?

$10,233

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $10,233 for this service. The price depends on where it is billed: about $10,233 from a physician practice, and about $5,754 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$10,233$9,772 to $11,482
FacilityA hospital or hospital-owned outpatient department$5,754$1,047 to $10,000

How much rates vary

Facilitymedian $5,754 · 10th to 90th $692 to $10,965Professionalmedian $10,233 · 10th to 90th $8,318 to $12,882
$500$1K$2K$5K$10Kfacility $5,754professional $10,233

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
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$10,471.29
Typical High
$12,882.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$13,182.57
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$10,000.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,659.59
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$5,370.32
Typical High
$7,413.10

Where Tennessee 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.

Tennessee· 10th of 51

$10,233

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.