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

Wisconsin 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?

$10,965

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $10,965 for this service. The price depends on where it is billed: about $10,965 from a physician practice, and about $10,965 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$10,965$8,128 to $15,488
FacilityA hospital or hospital-owned outpatient department$10,965$4,467 to $16,596

How much rates vary

Facilitymedian $10,965 · 10th to 90th $741 to $30,200Professionalmedian $10,965 · 10th to 90th $3,631 to $19,055
$100$1K$10Kfacility $10,965professional $10,965

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
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$30,199.52
Typical High
$30,199.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$16,595.87
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$85,113.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$20,417.38
Typical High
$32,359.37
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,964.78
Typical High
$13,182.57
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$10,964.78
Typical High
$16,595.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$5,495.41
Typical High
$10,232.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$380.19
Typical High
$7,943.28
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,964.78
Typical High
$13,182.57
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$3,162.28
Typical High
$3,630.78
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$10,000.00
Typical High
$10,964.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$8,511.38
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,862.09
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,495.41
Typical High
$11,220.18

Where Wisconsin 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.

Wisconsin· 7th of 51

$10,965

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.