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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 July 2026.

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

$6,607

Typical negotiated rate. In Pennsylvania, July 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 $5,012 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$6,607$4,266 to $7,079
FacilityA hospital or hospital-owned outpatient department$5,012$851 to $7,943

How much rates vary

Facilitymedian $5,012 · 10th to 90th $537 to $44,668Professionalmedian $6,607 · 10th to 90th $3,236 to $8,318
$500$1K$2K$5K$10K$20K$50Kfacility $5,012professional $6,607

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$6,606.93
Typical High
$7,943.28
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,511.38
Typical High
$8,511.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$14,791.08
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$7,079.46
Typical High
$7,943.28
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$44,668.36
Typical High
$58,884.37
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$12,022.64
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$851.14
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,265.80
Typical High
$7,413.10

Where Pennsylvania 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.

Pennsylvania· 27th of 51

$6,607

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.