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Power Wheelchair, Group 3 Very Heavy-Duty, Multiple Power

Wisconsin rates for HCPCS K0863

Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds

Rates data updated October 2026.

How much does Power Wheelchair, Group 3 Very Heavy-Duty, Multiple Power cost?

$15,488

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $15,488 for this service. The price depends on where it is billed: about $15,488 from a physician practice, and about $18,621 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$15,488$9,550 to $18,621
FacilityA hospital or hospital-owned outpatient department$18,621$12,023 to $25,119

How much rates vary

Facilitymedian $18,621 · 10th to 90th $11,220 to $35,481Professionalmedian $15,488 · 10th to 90th $5,623 to $21,878
$1K$2K$5K$10K$20K$50Kfacility $18,621professional $15,488

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
$15,488.17
Median
$15,488.17
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$11,481.54
Median
$15,488.17
Typical High
$15,488.17
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$20,417.38
Typical High
$30,902.95
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$13,489.63
Median
$18,620.87
Typical High
$22,908.68
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,348.96
Median
$1,862.09
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$50,118.72
Typical High
$77,624.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$9,549.93
Median
$19,054.61
Typical High
$26,302.68
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,122.02
DeanCare
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$12,022.64
Typical High
$14,454.40
DeanCare
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Medica
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$12,022.64
Typical High
$16,595.87
Medica
Setting
Professional
Modifier
None
Typical Low
$4,365.16
Median
$6,309.57
Typical High
$13,489.63
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$645.65
Median
$912.01
Typical High
$1,905.46
Network Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$891.25
Median
$1,698.24
Typical High
$2,884.03
Prevea360
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$12,022.64
Typical High
$14,454.40
Prevea360
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Quartz
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,454.71
Typical High
$3,890.45
Quartz
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Quartz
Setting
Professional
Modifier
None
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$11,220.18
United
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$6,309.57
Typical High
$12,882.50
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$645.65
Median
$912.01
Typical High
$1,862.09
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00

Where Wisconsin sits

The same service costs 11.0 times more in North Dakota than in Mississippi. 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.

Wisconsin· 6th of 51

$15,488

ND $20,893MS $1,905

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.