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Power Wheelchair, Group 3 Standard, Single Power Option

Pennsylvania 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 October 2026.

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

$5,248

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $5,248 from a physician practice, and about $5,012 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$5,248$4,365 to $6,457
FacilityA hospital or hospital-owned outpatient department$5,012$4,365 to $16,596

How much rates vary

Facilitymedian $5,012 · 10th to 90th $4,365 to $31,623Professionalmedian $5,248 · 10th to 90th $3,388 to $9,772
$1K$2K$5K$10K$20K$50Kfacility $5,012professional $5,248

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
$5,370.32
Median
$5,623.41
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,981.07
Median
$5,370.32
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,951.21
Median
$4,073.80
Typical High
$4,265.80
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$371.54
Median
$371.54
Typical High
$436.52
Emblem Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$954.99
Median
$954.99
Typical High
$1,047.13
Geisinger
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Geisinger
Setting
Professional
Modifier
None
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Geisinger
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$724.44
Typical High
$1,047.13
Geisinger
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,981.07
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$5,370.32
Typical High
$5,623.41
Martin's Point
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$3,388.44
Median
$4,073.80
Typical High
$4,265.80
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$23,988.33
Typical High
$40,738.03
UPMC Health Plan
Setting
Facility
Modifier
RR · Rental
Typical Low
$562.34
Median
$3,311.31
Typical High
$5,754.40
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$9,772.37
Typical High
$9,772.37
UPMC Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$562.34
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,388.44
Typical High
$4,786.30
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$309.03
Median
$512.86
Typical High
$676.08

Where Pennsylvania sits

The same service costs 11.2 times more in North Dakota 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.

Pennsylvania· 14th of 51

$5,248

ND $11,749MT $1,047

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.