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Power Wheelchair, Group 3 Heavy-Duty, Single Power Option

Massachusetts rates for HCPCS K0858

Power wheelchair, group 3 heavy-duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds

Rates data updated July 2026.

How much does Power Wheelchair, Group 3 Heavy-Duty, Single Power Option cost?

$5,495

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,495 from a physician practice, and about $5,495 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 7 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$5,495$5,495 to $6,761
FacilityA hospital or hospital-owned outpatient department$5,495$3,388 to $5,495

How much rates vary

Facilitymedian $5,495 · 10th to 90th $513 to $8,511Professionalmedian $5,495 · 10th to 90th $4,266 to $10,000
$1$10$100$1K$10Kfacility $5,495professional $5,495

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
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$7,585.78
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$8,317.64
Typical High
$8,511.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$5,495.41
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$18,620.87
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$11,220.18
Typical High
$11,220.18
Health New England
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$8,317.64
Typical High
$8,511.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$5,495.41
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$1,288.25
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$5,495.41
Typical High
$11,220.18

Where Massachusetts sits

The same service costs 3.3 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.

Massachusetts· 42nd of 51

$5,495

MN $12,023MT $3,631

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.