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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 October 2026.

How much does Power Wheelchair, Group 3 Extra Heavy-Duty, Captain's Chair cost?

$14,125

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $14,125 for this service. The price depends on where it is billed: about $14,125 from a physician practice, and about $16,596 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14,125$8,128 to $16,596
FacilityA hospital or hospital-owned outpatient department$16,596$10,965 to $22,909

How much rates vary

Facilitymedian $16,596 · 10th to 90th $10,000 to $31,623Professionalmedian $14,125 · 10th to 90th $5,129 to $19,953
$1K$2K$5K$10K$20K$50Kfacility $16,596professional $14,125

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$14,125.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$18,620.87
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$8,128.31
Median
$16,595.87
Typical High
$20,417.38
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$812.83
Median
$1,659.59
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$45,708.82
Typical High
$70,794.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$16,982.44
Typical High
$23,988.33
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$851.14
Median
$1,000.00
Typical High
$1,000.00
DeanCare
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$10,964.78
Typical High
$13,182.57
DeanCare
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Medica
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$10,964.78
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$5,754.40
Typical High
$12,302.69
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$588.84
Median
$812.83
Typical High
$1,737.80
Network Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$812.83
Median
$1,513.56
Typical High
$2,630.27
Prevea360
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$10,964.78
Typical High
$13,182.57
Prevea360
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Quartz
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$2,238.72
Typical High
$3,548.13
Quartz
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Quartz
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$10,000.00
United
Setting
Professional
Modifier
None
Typical Low
$3,890.45
Median
$5,754.40
Typical High
$11,748.98
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$575.44
Median
$812.83
Typical High
$1,659.59
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$5,888.44
Median
$6,025.60
Typical High
$6,025.60

Where Wisconsin sits

The same service costs 10.7 times more in North Dakota than in Mississippi. 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· 5th of 51

$14,125

ND $18,621MS $1,738

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.