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

Pennsylvania 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 October 2026.

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

$6,607

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $6,607 for this service. The price depends on where it is billed: about $6,607 from a physician practice, and about $5,370 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6,607$5,012 to $8,128
FacilityA hospital or hospital-owned outpatient department$5,370$5,012 to $24,547

How much rates vary

Facilitymedian $5,370 · 10th to 90th $5,012 to $41,687Professionalmedian $6,607 · 10th to 90th $4,266 to $12,023
$5K$10K$20K$50Kfacility $5,370professional $6,607

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
$6,606.93
Median
$7,079.46
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,248.07
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
$6,456.54
Median
$6,456.54
Typical High
$8,511.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Emblem Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,288.25
Geisinger
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Geisinger
Setting
Professional
Modifier
None
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Geisinger
Setting
Professional
Modifier
RR · Rental
Typical Low
$776.25
Median
$912.01
Typical High
$1,288.25
Geisinger
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$4,897.79
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$7,079.46
Martin's Point
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,248.07
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$29,512.09
Typical High
$51,286.14
UPMC Health Plan
Setting
Facility
Modifier
RR · Rental
Typical Low
$691.83
Median
$4,168.69
Typical High
$7,079.46
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$6,606.93
Median
$12,022.64
Typical High
$12,022.64
UPMC Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$691.83
Median
$933.25
Typical High
$933.25
United
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$6,025.60
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$380.19
Median
$630.96
Typical High
$851.14

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· 15th of 51

$6,607

ND $14,454MT $1,288

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.