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Power Wheelchair, Group 3 Standard, Single Power Option

New York rates for HCPCS K0856

Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Rates data updated July 2026.

How much does Power Wheelchair, Group 3 Standard, Single Power Option cost?

$5,012

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,012 from a physician practice, and about $2,291 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 8 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$5,012$4,266 to $6,026
FacilityA hospital or hospital-owned outpatient department$2,291$550 to $4,365

How much rates vary

Facilitymedian $2,291 · 10th to 90th $347 to $5,248Professionalmedian $5,012 · 10th to 90th $2,692 to $9,772
$100$200$500$1K$2K$5K$10Kfacility $2,291professional $5,012

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
$2,570.40
Median
$6,025.60
Typical High
$9,772.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$5,011.87
Typical High
$10,000.00
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$11,220.18
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$3,715.35
Typical High
$5,754.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$5,754.40
Typical High
$6,918.31
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,047.13
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$3,388.44
Typical High
$5,623.41
Univera
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,897.79
Typical High
$5,754.40
Univera
Setting
Professional
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$5,754.40

Where New York sits

The same service costs 3.1 times more in Minnesota than in Montana. 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.

New York· 36th of 51

$5,012

MN $8,913MT $2,884

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.