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

Texas 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?

$8,511

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $8,511 for this service. The price depends on where it is billed: about $8,511 from a physician practice, and about $7,244 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 9 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$8,511$7,586 to $10,715
FacilityA hospital or hospital-owned outpatient department$7,244$3,236 to $11,220

How much rates vary

Facilitymedian $7,244 · 10th to 90th $661 to $11,220Professionalmedian $8,511 · 10th to 90th $5,248 to $12,882
$100$200$500$1K$2K$5K$10Kfacility $7,244professional $8,511

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
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$8,709.64
Typical High
$12,882.50
Christus
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
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
$8,511.38
Median
$8,511.38
Typical High
$10,000.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$10,964.78
Typical High
$10,964.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$9,332.54
Typical High
$11,220.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,882.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$1,513.56
Typical High
$8,912.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,000.00
Typical High
$11,220.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$8,511.38
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,511.89
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,897.79
Typical High
$8,128.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31

Where Texas 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.

Texas· 31st of 51

$8,511

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.