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Standard-Weight Power Wheelchair, Programmable Controls

Illinois rates for HCPCS K0011

Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking

Rates data updated October 2026.

How much does Standard-Weight Power Wheelchair, Programmable Controls cost?

$4,074

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $4,074 from a physician practice, and about $5,129 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,074$2,399 to $5,129
FacilityA hospital or hospital-owned outpatient department$5,129$5,129 to $51,286

How much rates vary

Facilitymedian $5,129 · 10th to 90th $4,074 to $91,201Professionalmedian $4,074 · 10th to 90th $1,862 to $5,370
$100$1K$10K$100Kfacility $5,129professional $4,074

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$4,073.80
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$4,073.80
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$4,265.80
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$53,703.18
Typical High
$107,151.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$436.52
Median
$512.86
Typical High
$512.86
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$181.97
Typical High
$891.25
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
United
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,511.89
Typical High
$5,623.41
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$288.40
Median
$363.08
Typical High
$831.76
1 more rate 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
KF · Class III device
Typical Low
$134.90
Median
$134.90
Typical High
$134.90

Where Illinois sits

The same service costs 12.6 times more in Kansas 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.

Illinois· 39th of 51

$4,074

KS $9,772MS $776

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.