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

New York rates for HCPCS K0864

Power wheelchair, group 3 extra heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more

Rates data updated July 2026.

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

$12,589

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $12,589 for this service. The price depends on where it is billed: about $12,589 from a physician practice, and about $5,623 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 8 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$12,589$9,333 to $15,849
FacilityA hospital or hospital-owned outpatient department$5,623$1,175 to $9,550

How much rates vary

Facilitymedian $5,623 · 10th to 90th $724 to $13,183Professionalmedian $12,589 · 10th to 90th $6,026 to $20,893
$100$500$2K$10K$50Kfacility $5,623professional $12,589

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
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$12,589.25
Typical High
$20,892.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$15,848.93
Typical High
$21,379.62
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$23,442.29
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$11,220.18
Typical High
$13,182.57
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$12,022.64
Typical High
$12,022.64
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,187.76
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$7,244.36
Typical High
$11,481.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$10,471.29
Typical High
$12,022.64
Univera
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$12,022.64

Where New York sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. 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.

New York· 22nd of 51

$12,589

MN $20,417DC $8,128

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.