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

Utah 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.

Facilitymedian $4,266 · 10th–90th $646$10,0000%20%10th90th$4,266Professionalmedian $6,166 · 10th–90th $1,349$11,2200%20%10th90th$6,166$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
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
$1,174.90
Median
$10,000.00
Typical High
$19,054.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$6,606.93
Typical High
$10,471.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$16,595.87
Typical High
$17,782.79
Select Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,659.59
Typical High
$11,220.18
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,659.59
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,096.48
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$4,677.35
Typical High
$9,120.11