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

Pennsylvania 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?

$11,482

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $11,482 for this service. The price depends on where it is billed: about $11,482 from a physician practice, and about $9,120 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$11,482$7,762 to $12,023
FacilityA hospital or hospital-owned outpatient department$9,120$1,445 to $20,893

How much rates vary

Facilitymedian $9,120 · 10th to 90th $912 to $79,433Professionalmedian $11,482 · 10th to 90th $5,495 to $13,804
$1K$2K$5K$10K$20K$50K$100Kfacility $9,120professional $11,482

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
$5,495.41
Median
$11,481.54
Typical High
$13,489.63
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$14,454.40
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$20,892.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$25,118.86
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$16,982.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$12,022.64
Typical High
$13,489.63
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$79,432.82
Typical High
$104,712.85
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,445.44
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$7,244.36
Typical High
$12,589.25

Where Pennsylvania 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.

Pennsylvania· 35th of 51

$11,482

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.